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JEFFERSON MEDICAL CLINIC LLC
NPI 1952747602
Family Medicine in Gretna, LA

Active since May 21, 2013CLIA 19D2065877 · Waiver
435 LAPALCO BLVD STE 1, GRETNA, LA 70056(504) 392-4114(504) 533-8622 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1952747602
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEFFERSON MEDICAL CLINIC LLC
Location Address435 LAPALCO BLVD STE 1Gretna, LA 70056-7375
Mailing Address435 Lapalco BlvdGretna, LA 70056-7369 · (504) 392-4114 · Fax (504) 533-8622
Phone(504) 392-4114
Fax(504) 533-8622
Organization SubpartNo
Authorized OfficialSon Binh NguyenManaging Member · (504) 392-4114
Enumeration DateMay 21, 2013
Last NPPES UpdateDecember 17, 2019
✔ NPI 1952747602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
435 LAPALCO BLVD STE 1, Gretna, LA 70056
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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 19D2065877

Jefferson Medical Clinic · Gretna, LA
Active · expires Sep 16, 2027
CLIA Number19D2065877
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorSon B. Nguyen
Laboratory Phone(504) 392-4114
Laboratory LocationJefferson Medical Clinic435 Lapalco Blvd, Gretna, LA 70056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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 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 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.