JEFFERSON DAVIS EMERGENCY GROUP LLC
NPI 1043289572
Emergency Medicine in Jennings, LA
About Jefferson Davis Emergency Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON DAVIS EMERGENCY GROUP LLC (NPI 1043289572) is a healthcare organization registered as an emergency medicine in Jennings, Louisiana and active in the NPI registry since March 2006. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Davis Emergency Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
76Medicare enrollment records show 76 clinicians reassign Medicare billing to Jefferson Davis Emergency Group LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 76Lake Charles, LA 70611
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jefferson Davis Emergency Group LLC's NPI number?
The NPI number for Jefferson Davis Emergency Group LLC is 1043289572. It was assigned to this organization in the NPPES registry on March 16, 2006.
Where is Jefferson Davis Emergency Group LLC located?
Jefferson Davis Emergency Group LLC is located at 1634 Elton Rd, Jennings, LA 70546. The listed phone number is (337) 616-7160.
What is Jefferson Davis Emergency Group LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jefferson Davis Emergency Group LLC enrolled in Medicare?
Yes. Jefferson Davis Emergency Group LLC is registered in the Medicare PECOS enrollment system.
When is Jefferson Davis Emergency Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jefferson Davis Emergency Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 6 Medicare specialties reassign their Medicare billing to Jefferson Davis Emergency Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (30), Nurse Practitioner (26) and Family Practice (14). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson Davis Emergency Group LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jefferson Davis Emergency Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jefferson Davis Emergency Group LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jefferson Davis Emergency Group Llc · NPI 1043289572
Emergency Medicine organization in Jennings, Louisiana. Organization record, active in the CMS NPPES registry since March 16, 2006.
## Identity
- **NPI:** 1043289572 (Entity type: Organization)
- **Enumerated:** March 16, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 1634 ELTON RD, Jennings, LA 70546-3614
- **Phone:** (337) 616-7160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 76 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (30), Nurse Practitioner (26), Family Practice (14); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1043289572/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid 1444375 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043289572) · Data from the CMS NPPES public registry.