PRIMARY CARE GROUP
NPI 1114356979
Family Medicine in Baton Rouge, LA
About Primary Care Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE GROUP (NPI 1114356979) is a healthcare organization registered as a family medicine in Baton Rouge, Louisiana and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Kendall Johnson, C.f.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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)
Primary Care Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Primary Care Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D1013396
Primary Care Group · Baton Rouge, LAFrequently 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 Baton Rouge General Primary Care, LLC's NPI number?
The NPI number for Baton Rouge General Primary Care, LLC is 1114356979. It was assigned to this organization in the NPPES registry on November 2, 2013. The provider is doing business as Primary Care Group.
Where is Baton Rouge General Primary Care, LLC located?
Baton Rouge General Primary Care, LLC is located at 5353 Florida Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 367-4558.
What is Baton Rouge General Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Baton Rouge General Primary Care, LLC enrolled in Medicare?
Yes. Baton Rouge General Primary Care, LLC is registered in the Medicare PECOS enrollment system.
When is Baton Rouge General Primary Care, 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 November 30, 2026. 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 Baton Rouge General Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Baton Rouge General Primary Care, 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 Family Practice (4), Nurse Practitioner (2) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baton Rouge General Primary Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D1013396) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Baton Rouge General Primary Care, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Baton Rouge General Primary Care, 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 Baton Rouge General Primary Care, LLC was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Primary Care Group · NPI 1114356979
Family Medicine organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since November 2, 2013.
## Identity
- **NPI:** 1114356979 (Entity type: Organization)
- **Enumerated:** November 2, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Baton Rouge General Primary Care, Llc
- **Organization subpart:** No
- **Authorized official:** Kendall Johnson, C.F.O.
## Practice location
- **Address:** 5353 FLORIDA BLVD, Baton Rouge, LA 70806-4130
- **Phone:** (225) 367-4558 · **Fax:** (225) 367-4576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2018
- **Other identifiers:** Medicaid 1443328 (LA); Other 1114356979
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114356979) · Data from the CMS NPPES public registry.