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J KEVIN INGRAM MEDICAL, INC
NPI 1871761619
Family Medicine in Vidalia, LA

Active since February 14, 2008
1806 CARTER ST, VIDALIA, LA 71373(318) 757-6526 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J Kevin Ingram Medical, Inc NPPES

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

J KEVIN INGRAM MEDICAL, INC (NPI 1871761619) is a healthcare organization registered as a family medicine in Vidalia, Louisiana and active in the NPI registry since February 2008. The organization lists Johnny Kevin Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1871761619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJ KEVIN INGRAM MEDICAL, INC
Location Address1806 CARTER STVidalia, LA 71373-3115
Mailing AddressPo Box 14149Baton Rouge, LA 70898-4149 · (888) 924-9827 · Fax (225) 924-9829
Phone(318) 757-6526
Organization SubpartNo
Authorized OfficialJohnny Kevin IngramOwner · (318) 336-8166
Enumeration DateFebruary 14, 2008
Last NPPES UpdateJune 12, 2008
✔ NPI 1871761619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD200671
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1806 CARTER ST, Vidalia, LA 71373
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Other Identifiers 4

Medicare PIN5DC61LA
Medicare UPINI53108LA
Medicare PIN4K134DC61LA
Medicaid1066435LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 19D1088143

J Kevin Ingram Medical · Vidalia, LA
Expired · Aug 17, 2026
CLIA Number19D1088143
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorJohnny K. Ingram MD
Laboratory Phone(318) 336-8166
Laboratory LocationJ Kevin Ingram Medical1154 Logan Sewell Dr, Vidalia, LA 71373
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 3

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

PEDIATRIC & ADOLESCENT CLINIC OF LOUISIANA LLC
Clinic/Center (Rural Health)
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 336-7172
DAVID ALAN TIMM
Pediatrics
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 336-7172
NATCHEZ REGIONAL CLINIC
Family Medicine
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 336-8166

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 J Kevin Ingram Medical, Inc's NPI number?

The NPI number for J Kevin Ingram Medical, Inc is 1871761619. It was assigned to this organization in the NPPES registry on February 14, 2008.

Where is J Kevin Ingram Medical, Inc located?

J Kevin Ingram Medical, Inc is located at 1806 Carter St, Vidalia, LA 71373. The listed phone number is (318) 757-6526.

What is J Kevin Ingram Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does J Kevin Ingram Medical, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list J Kevin Ingram Medical, Inc 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 J Kevin Ingram Medical, Inc was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.