NPIMap

Organization Active NPI

Lafayette Health Ventures, Inc

Doing business as Acadia General Hospital Physician Group

  • Family Medicine Physician
  • Crowley, LA
National Provider Identifier
1982355152
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Doing business as
Acadia General Hospital Physician Group
Practice address
1325 Wright Ave Ste H
Crowley, LA 70526-2226
Phone
(337) 785-5440
Fax
(337) 785-5441
NPI assigned
Jan 10, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LAFAYETTE HEALTH VENTURES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Dooley
Title
Coo
Phone
(337) 571-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1325 Wright Ave Ste H
Crowley, LA 70526-2226

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 289-8944

Other names 1

  • Acadia General Hospital Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000263 LA Part B Supplier - Clinic/Group Practice 9335043074 Receives reassigned benefits from 428 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Health Ventures Inc24 organizations share this tax ID, including this one
Part of
Lafayette Health Ventures Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1982355152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE H",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-785-5440",
            "fax_number": "337-785-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE HEALTH VENTURES, INC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-571-1394"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia General Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acadia General Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.