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PRIMARY CARE PLUS
NPI 1487084943
Internal Medicine in Gretna, LA

Active since November 20, 2013CLIA 19D2091420 · Waiver
120 MEADOWCREST ST, SUITE 120, GRETNA, LA 70056(504) 620-5661(504) 620-5674 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primary Care Plus NPPES

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

PRIMARY CARE PLUS (NPI 1487084943) is a healthcare organization registered as an internal medicine in Gretna, Louisiana and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Peter Alden Kellogg, Associate General Counsel, as its authorized official.

NPPES Registry Identity

NPI1487084943
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAPITAL CITY MEDICAL GROUP, LLC
Location Address120 MEADOWCREST ST, SUITE 120Gretna, LA 70056-5255
Mailing Address3838 N Causeway Blvd, Suite 2200Metairie, LA 70002-8194 · (504) 681-8259 · Fax (504) 681-8260
Phone(504) 620-5661
Fax(504) 620-5674
Organization SubpartNo
Authorized OfficialPeter Alden KelloggAssociate General Counsel · (504) 681-8532
Enumeration DateNovember 20, 2013
Last NPPES UpdateMay 12, 2014
✔ NPI 1487084943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
120 MEADOWCREST ST, Gretna, LA 70056
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Other Names 1

Doing Business AsPrimary Care Plus

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

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 19D2091420

Primary Care Plus · New Orleans, LA
Active · expires Feb 11, 2027
CLIA Number19D2091420
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorJohn H. Vockroth
Laboratory Phone(504) 620-5661
Laboratory LocationPrimary Care Plus3010 Holiday Drive, New Orleans, LA 70131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. DANIEL J BURST PA
Physician Assistant (Medical)
120 MEADOWCREST ST, SUITE 300
GRETNA, LA 70056
Jefferson Parish (504) 392-7123
DANIEL A MARSHALL JR. MD
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Jefferson Parish (504) 391-7620
GORDON J RUSSO MD
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Jefferson Parish (504) 391-7620
GLENN GERARD RUSSO M.D.
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Jefferson Parish (504) 391-7620
JANOS I VOROS M.D.
Obstetrics & Gynecology
120 MEADOWCREST ST, SUITE 350
GRETNA, LA 70056
Jefferson Parish (504) 391-7678
NEW ORLEANS HEADACHE & NEUROLOGY CLINIC, APMC
Psychiatry & Neurology (Neurology)
120 MEADOWCREST ST, STE 420
GRETNA, LA 70056
Jefferson Parish (504) 391-7547
E.B. ROSS, JR MD-STEPHEN D GOODWIN, MD
Otolaryngology
120 MEADOWCREST ST, SUITE 200
GRETNA, LA 70056
Jefferson Parish (504) 391-7650
JOSHUA STEPHEN FOWLER M.D.
Internal Medicine
120 MEADOWCREST ST, SUITE 380
GRETNA, LA 70056
Jefferson Parish (504) 371-3955

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 Capital City Medical Group, LLC's NPI number?

The NPI number for Capital City Medical Group, LLC is 1487084943. It was assigned to this organization in the NPPES registry on November 20, 2013. The provider is doing business as Primary Care Plus.

Where is Capital City Medical Group, LLC located?

Capital City Medical Group, LLC is located at 120 Meadowcrest St Suite 120, Gretna, LA 70056. The listed phone number is (504) 620-5661.

What is Capital City Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Capital City Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2091420) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital City Medical Group, LLC was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.