Active NPI
Reddy Family Medical Clinic LLC
- Family Medicine Physician
- Pierre Part, LA
National Provider Identifier
1992029128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05775R
- Legal business name
- REDDY FAMILY MEDICAL CLINIC LLC
- Practice address
- 3407 Highway 70 S
Pierre Part, LA 70339-4524 - Phone
- (985) 252-1000
- Fax
- (985) 252-1003
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Nagaratna Reddy, M.D
- Title
- Physician
- Phone
- (225) 545-3631
Corporate family (same tax ID) 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Napoleonville, LA
- NPI 1356665582
-
- Family Medicine Physician
- Plaquemine, LA
- NPI 1447574678
-
- Family Medicine Physician
- Donaldsonville, LA
- NPI 1902120132
-
- Family Medicine Physician
- White Castle, LA
- NPI 1720302953
National Provider Directory
National Provider Directory- Tax ID family
- Reddy Family Medical Clinic LLC
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05775R | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3407 Highway 70 S
Pierre Part, LA 70339-4524
Mailing address
217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948292 | Medicaid | LA | |
| 5F973 | Other | LA | MEDICARE PART B |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2010.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268784000000",
"number": "1992029128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 RAILROAD AVE",
"city": "DONALDSONVILLE",
"state": "LA",
"postal_code": "703462527",
"telephone_number": "225-473-3931",
"fax_number": "225-473-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 HIGHWAY 70 S",
"city": "PIERRE PART",
"state": "LA",
"postal_code": "703394524",
"telephone_number": "985-252-1000",
"fax_number": "985-252-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDDY FAMILY MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "NAGARATNA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "225-545-3631",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "05775R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948292",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "5F973",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pierre Part, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.