ADVANCED PRIMARY CARE OF LOUISIANA LLC
NPI 1114605722
Nurse Practitioner - Primary Care in Gray, LA

Active since July 05, 2023CLIA 19D2288939 · Waiver
4275 W MAIN ST, GRAY, LA 70359(985) 360-3781(985) 360-3782 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2023, Aug 14, 2023, Jul 5, 2023 (3 updates tracked since 2023).

About Advanced Primary Care Of Louisiana Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PRIMARY CARE OF LOUISIANA LLC (NPI 1114605722) is a healthcare organization registered as a primary care in Gray, Louisiana and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Darin Branson, Np, as its authorized official.

NPPES Registry Identity

NPI1114605722
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameADVANCED PRIMARY CARE OF LOUISIANA LLC
Location Address4275 W MAIN STGray, LA 70359-6410
Mailing Address4275 W Main StGray, LA 70359-6410
Fax(985) 360-3782
Organization SubpartNo
Authorized OfficialDarin BransonNp · (985) 360-3781
Enumeration DateJuly 5, 2023
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1114605722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
4275 W MAIN ST, Gray, LA 70359

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 19D2288939

Advanced Primary Care Of Louisiana · Gray, LA
Active · expires Aug 31, 2027
CLIA Number19D2288939
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDarin Branson
Laboratory Phone(985) 205-1310
Laboratory LocationAdvanced Primary Care Of Louisiana4275 West Main St, Gray, LA 70359
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4275 W MAIN ST
GRAY, LA 70359
Nurse Practitioner (Family)
4275 W MAIN ST
GRAY, LA 70359

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 Advanced Primary Care Of Louisiana LLC's NPI number?

The NPI number for Advanced Primary Care Of Louisiana LLC is 1114605722. It was assigned to this organization in the NPPES registry on July 5, 2023.

Where is Advanced Primary Care Of Louisiana LLC located?

Advanced Primary Care Of Louisiana LLC is located at 4275 W Main St, Gray, LA 70359. The listed phone number is (985) 360-3781.

What is Advanced Primary Care Of Louisiana LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Advanced Primary Care Of Louisiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2288939) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Primary Care Of Louisiana LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Advanced Primary Care Of Louisiana 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 Advanced Primary Care Of Louisiana LLC was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.