ALYSSA GUILLORY FONG MD
NPI 1730982448
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Q: What is Alyssa Fong's NPI number?

The NPI number for Alyssa Fong is 1730982448. It was assigned to this individual provider in the NPPES registry on March 28, 2025. The provider is also known as Alyssa Brooke Guillory.

Q: What is Alyssa Fong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Fong was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 28, 2025PECOS Enrolled

2390 W CONGRESS ST, LAFAYETTE, LA 70506(225) 636-1777 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 2, 2025, Aug 13, 2025, Mar 28, 2025 (3 updates tracked since 2025).

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About Alyssa Guillory Fong Md NPPES

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

ALYSSA GUILLORY FONG MD (NPI 1730982448) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730982448

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA GUILLORY FONGCredential: MD

Location Address2390 W CONGRESS STLafayette, LA 70506-4205

Mailing Address2390 W Congress StLafayette, LA 70506-4205 · (225) 636-1777

Phone(225) 636-1777

Sole ProprietorNo

Enumeration DateMarch 28, 2025

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1730982448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2390 W CONGRESS ST, Lafayette, LA 70506

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Other Names 1

Former Name (1)Alyssa Brooke Guillory

Other Identifiers 1

Medicaid2902547LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Guillory Fong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ALICIA RUDDOCK ROURK RD, LDN

Dietitian, Registered