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SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC
NPI 1831402924
Otolaryngology - Plastic Surgery within the Head & Neck in Mandeville, LA

Active since July 19, 2010CLIA 19D2015769 · Waiver
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471(985) 327-5905(985) 200-0840 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc NPPES

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

SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC (NPI 1831402924) is a healthcare organization registered as a plastic surgery within the head & neck in Mandeville, Louisiana and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Jason M Guillot, Owner, as its authorized official.

NPPES Registry Identity

NPI1831402924
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameSOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC
Location Address1420 N CAUSEWAY BLVDMandeville, LA 70471-3104
Mailing Address1420 N Causeway BlvdMandeville, LA 70471-3104 · (985) 327-5905 · Fax (985) 200-0840
Phone(985) 327-5905
Fax(985) 200-0840
Organization SubpartNo
Authorized OfficialJason M GuillotOwner · (985) 327-5905
Enumeration DateJuly 19, 2010
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1831402924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in LA · 203549
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 203549 (LA)
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 203549 (LA)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 203549 (LA)
1420 N CAUSEWAY BLVD, Mandeville, LA 70471
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 19D2015769

South Louisiana Ent Facial Plastics And Hair Restoration · Mandeville, LA
Active · expires Nov 2, 2026
CLIA Number19D2015769
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorJason M. Guillot
Laboratory Phone(985) 327-5905
Laboratory LocationSouth Louisiana Ent Facial Plastics And Hair Restoration1420 N Causeway Blvd, Mandeville, LA 70471
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

KAYLA MARCELLE DEGEORGE AU.D.
Audiologist
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 273-5795
DR. MARISSA ROSE LEDET CORNEILLE AUD
Audiologist-Hearing Aid Fitter
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 273-5795
MR. JONATHAN EDWARD SORREL M.D.
Otolaryngology
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905
MRS. MELANIE THIBODEAUX LINER M.C.D
Audiologist-Hearing Aid Fitter
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905
MRS. JORDAN STRATTON CRUZ FNP-C
Nurse Practitioner (Family)
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905
MS. ALISON R PALMER CCSH
Health Educator
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905
DR. JORGE HUGO MARTINEZ JR. AU.D.
Audiologist
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905
RACHEL FITZMORRIS GIACONTIERE AUD
Audiologist
1420 N CAUSEWAY BLVD
MANDEVILLE, LA 70471
St. Tammany Parish (985) 327-5905

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 South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc's NPI number?

The NPI number for South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc is 1831402924. It was assigned to this organization in the NPPES registry on July 19, 2010.

Where is South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc located?

South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc is located at 1420 N Causeway Blvd, Mandeville, LA 70471. The listed phone number is (985) 327-5905.

What is South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Does South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2015769) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc 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 South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc 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 South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc was last updated on October 10, 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.