JEFFERSON MEDICAL CLINIC LLC
NPI 1952747602
Family Medicine in Gretna, LA
About Jefferson Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON MEDICAL CLINIC LLC (NPI 1952747602) is a healthcare organization registered as a family medicine in Gretna, Louisiana and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Son Binh Nguyen, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Jefferson Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 19D2065877
Jefferson Medical Clinic · Gretna, LAFrequently 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 Jefferson Medical Clinic LLC's NPI number?
The NPI number for Jefferson Medical Clinic LLC is 1952747602. It was assigned to this organization in the NPPES registry on May 21, 2013.
Where is Jefferson Medical Clinic LLC located?
Jefferson Medical Clinic LLC is located at 435 Lapalco Blvd Ste 1, Gretna, LA 70056. The listed phone number is (504) 392-4114.
What is Jefferson Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jefferson Medical Clinic LLC enrolled in Medicare?
Yes. Jefferson Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Jefferson Medical Clinic LLC, in Cardiovascular Disease (Cardiology), Diagnostic Radiology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jefferson Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2065877) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jefferson Medical Clinic LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jefferson Medical Clinic LLC 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 Jefferson Medical Clinic LLC was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jefferson Medical Clinic Llc · NPI 1952747602
Family Medicine organization in Gretna, Louisiana. Organization record, active in the CMS NPPES registry since May 21, 2013.
## Identity
- **NPI:** 1952747602 (Entity type: Organization)
- **Enumerated:** May 21, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Son Nguyen, MANAGING MEMBER
## Practice location
- **Address:** 435 LAPALCO BLVD STE 1, Gretna, LA 70056-7375
- **Phone:** (504) 392-4114 · **Fax:** (504) 533-8622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (2), Family Practice (2), Cardiovascular Disease (Cardiology) (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952747602) · Data from the CMS NPPES public registry.