Organization Active NPI

Allen's Family Practice Clinic of Ponchatoula, L.L.P.

  • Family Medicine Physician
  • Ponchatoula, LA
National Provider Identifier
1992793095
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Mrs. Cathy L. Allen
Title
Clinic Manager
Phone
(985) 386-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000123 LA Part B Supplier - Clinic/Group Practice 9032207360 Receives reassigned benefits from 2 practitioners
Practice locations: Ponchatoula, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0718793Allen's Family Practice105 East Oak St, Ponchatoula, LA 70454Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

105 E Oak St
Ponchatoula, LA 70454
Phone (504) 386-6198

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71800

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1992793095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704540129",
            "telephone_number": "985-386-6198",
            "fax_number": "985-386-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E OAK ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542619",
            "telephone_number": "985-386-6198",
            "fax_number": "985-386-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN'S FAMILY PRACTICE CLINIC OF PONCHATOULA, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-386-6198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.