SOUTHEAST NEUROSCIENCE CENTER, LLC
NPI 1285630129
Specialist in Gray, LA

Active since June 24, 2005
128 NEUROSCIENCE CT, GRAY, LA 70359(985) 917-3007(985) 917-3010 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Aug 20, 2016, Mar 23, 2016 (3 updates tracked since 2016).

About Southeast Neuroscience Center, Llc NPPES

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

SOUTHEAST NEUROSCIENCE CENTER, LLC (NPI 1285630129), doing business as Imaging Center Of South Louisiana, is a healthcare organization registered as a specialist in Gray, Louisiana and active in the NPI registry since June 2005. The organization lists Jasmine Martines, Billing, as its authorized official.

NPPES Registry Identity

NPI1285630129
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEAST NEUROSCIENCE CENTER, LLC
Location Address128 NEUROSCIENCE CTGray, LA 70359
Mailing Address128 Neuroscience CtGray, LA 70359-5209 · (985) 917-3007 · Fax (985) 917-3010
Fax(985) 917-3010
Organization SubpartNo
Authorized OfficialJasmine MartinesBilling · (985) 855-4327
Enumeration DateJune 24, 2005
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1285630129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
128 NEUROSCIENCE CT, Gray, LA 70359

Other Names 1

Doing Business AsImaging Center Of South Louisiana

Other Identifiers 1

Medicaid1947482LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Neuroscience Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Southeast Neuroscience Center, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1700458015
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1750387676
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396568812
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1750467007
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1972509818
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215284963
128 NEUROSCIENCE CT
Gray, LA 70359
(985) 917-3007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124335831
142 EVANGELINE DR
Houma, LA 70360
(985) 381-6274
✔ PECOS✔ Accepts Medicare4.6 mi
Neurology
NPI 1417148933
1126 MARGUERITE ST STE A
Morgan City, LA 70380
(985) 917-3007
✔ PECOS✔ Accepts Medicare25 mi

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 Southeast Neuroscience Center, LLC's NPI number?

The NPI number for Southeast Neuroscience Center, LLC is 1285630129. It was assigned to this organization in the NPPES registry on June 24, 2005. The provider is doing business as Imaging Center of South Louisiana.

Where is Southeast Neuroscience Center, LLC located?

Southeast Neuroscience Center, LLC is located at 128 Neuroscience Ct, Gray, LA 70359. The listed phone number is (985) 917-3007.

What is Southeast Neuroscience Center, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southeast Neuroscience Center, LLC enrolled in Medicare?

Yes. Southeast Neuroscience Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Neuroscience Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeast Neuroscience Center, 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 Nurse Practitioner (4), Neurology (3) and Diagnostic Radiology (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Neuroscience Center, 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 Southeast Neuroscience Center, 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 Southeast Neuroscience Center, LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.