CENTERWELL SENIOR PRIMARY CARE- BAKER
NPI 1962276956
Internal Medicine in Baker, LA

Q: What is Centerwell Senior Primary Care (la) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 09, 2023CLIA 19D2298925 · Waiver

6404 GROOM RD, BAKER, LA 70714(225) 614-9065 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Centerwell Senior Primary Care- Baker NPPES

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

CENTERWELL SENIOR PRIMARY CARE- BAKER (NPI 1962276956) is a healthcare organization registered as an internal medicine in Baker, Louisiana and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1962276956

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (LA) PC

Location Address6404 GROOM RDBaker, LA 70714-4364

Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120

Phone(225) 614-9065

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateNovember 9, 2023

NPPES CertifiedNovember 9, 2023

✔ NPI 1962276956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

6404 GROOM RD, Baker, LA 70714

Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care- Baker

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

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 19D2298925

Centerwell Senior Primary Care-Baker · Baker, LA

Active · expires Feb 9, 2028

CLIA Number19D2298925

Laboratory TypePhysician Office

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorEarl L. Magee

Laboratory Phone(225) 614-9065

Laboratory LocationCenterwell Senior Primary Care-Baker6404 Groom Rd, Baker, LA 70714

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 2

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

TOLULOPE FAMUYIRO MD

Family Medicine (Geriatric Medicine)

6404 GROOM RD
BAKER, LA 70714

East Baton Rouge Parish (225) 614-9065

SHELITA SPEARS KING FNP-C

Nurse Practitioner (Family)

6404 GROOM RD
BAKER, LA 70714

East Baton Rouge Parish (225) 614-9065

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 Centerwell Senior Primary Care (la) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (la) PC is 1962276956. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as Centerwell Senior Primary Care- Baker.

Where is Centerwell Senior Primary Care (la) PC located?

Centerwell Senior Primary Care (la) PC is located at 6404 Groom Rd, Baker, LA 70714. The listed phone number is (225) 614-9065.

What is Centerwell Senior Primary Care (la) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (la) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2298925) is associated with this NPI, valid through February 9, 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 Centerwell Senior Primary Care (la) PC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.