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MARY BIRD PERKINS CANCER CENTER
NPI 1861216772
Clinic/Center - Multi-Specialty in Baton Rouge, LA

Active since November 08, 2024CLIA 19D0886998 · Waiver
4950 ESSEN LN, BATON ROUGE, LA 70809(225) 767-0847(225) 767-1335 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Bird Perkins Cancer Center NPPES

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

MARY BIRD PERKINS CANCER CENTER (NPI 1861216772) is a healthcare organization registered as a multi-specialty in Baton Rouge, Louisiana and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Jacob Kraft, Decision Support Manager, as its authorized official.

NPPES Registry Identity

NPI1861216772
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMARY BIRD PERKINS CANCER CENTER
Location Address4950 ESSEN LNBaton Rouge, LA 70809-3738
Mailing Address5215 Essen Ln Ste 200Baton Rouge, LA 70809-3543 · (225) 215-1281 · Fax (225) 215-1380
Phone(225) 767-0847
Fax(225) 767-1335
Organization SubpartNo
Authorized OfficialJacob KraftDecision Support Manager · (225) 215-1281
Enumeration DateNovember 8, 2024
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1861216772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4950 ESSEN LN, Baton Rouge, LA 70809
Open in Google Maps ↗

Other Identifiers 1

Medicaid2683900LA

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 19D0886998

Mary Bird Perkins Cancer Center · Baton Rouge, LA
Active · expires Jun 1, 2028
CLIA Number19D0886998
Laboratory TypeOther
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorSheldon Johnson
Laboratory Phone(225) 767-0847
Laboratory LocationMary Bird Perkins Cancer Center4950 Essen Lane, Baton Rouge, LA 70809
CLIA data matches this NPI record on: Address 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.

MS. JAMIE F CHUSTZ CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
MS. MELISSA Z LUSCO CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
J STEPHENS MAYHUGH & ASSOC., INC.
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
MS. WANDA C TULLIER CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 241-6688
MS. MARTHA A BROUSSARD CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
KRISTEN B MOUNEY CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
SHERILYN L MCKEY CRNA
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 214-6688
HEMATOLOGY ONCOLOGY ASSOCIATES OF BATON ROUGE
Internal Medicine (Hematology & Oncology)
4950 ESSEN LN
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 767-1311

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 Mary Bird Perkins Cancer Center's NPI number?

The NPI number for Mary Bird Perkins Cancer Center is 1861216772. It was assigned to this organization in the NPPES registry on November 8, 2024.

Where is Mary Bird Perkins Cancer Center located?

Mary Bird Perkins Cancer Center is located at 4950 Essen Ln, Baton Rouge, LA 70809. The listed phone number is (225) 767-0847.

What is Mary Bird Perkins Cancer Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Mary Bird Perkins Cancer Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0886998) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary Bird Perkins Cancer Center was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.