Allen'S Family Practice Clinic of Ponchatoula, L.L.P.
Organization Active NPI Family Medicine Physician · Ponchatoula, LA
NPI 1992793095 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1992793095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALLEN'S FAMILY PRACTICE CLINIC OF PONCHATOULA, L.L.P.
- Practice address
- 105 E Oak St
Ponchatoula, LA 70454-2619 - Phone
- (985) 386-6198
- Fax
- (985) 386-6223
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cathy L. Allen
- Title
- Clinic Manager
- Phone
- (985) 386-6198
Practitioners 4
-
Gregory John Allen, M.D.
-
Steve Lawrence Gaudin, M.D.
-
Lauren A Arteaga, FNP
-
Melissa A. Lama, N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0718793 | Allen'S Family Practice | Certificate of waiver | Feb 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071120000123 | LA | Part B Supplier - Clinic/Group Practice | 9032207360 |
Receives reassigned benefits from 2 practitioners Practice locations: Ponchatoula, LA |
National Provider Directory
Locations
800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419
105 E Oak St
Ponchatoula, LA 70454
Phone (504) 386-6198
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
105 E Oak St
Ponchatoula, LA 70454-2619
Mailing address
PO Box 129
Ponchatoula, LA 70454-0129
Phone (985) 386-6198
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1950009 | Medicaid | LA |
Other providers in Ponchatoula, LA
- Agape Home Medical LLC
- Terry Collins Ainsworth
- David Presley Allen
- Gregory John Allen
- Ja'Juan Allen
- Gabrielle Alyssa Anderson
- Archway Apothecary LLC
- Lauren A Arteaga
- Asap Medivans, LLC
- B & W Healthcare LLC
All providers in Ponchatoula, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.