Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CAPITAL CITY MEDICAL GROUP, LLC
Active
Organization
CAPITAL CITY MEDICAL GROUP, LLC
Active
Other names
Primary Care Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ALDEN KELLOGG (ASSOCIATE GENERAL COUNSEL)
(504) 681-8532
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, SUITE 120, GRETNA, LA 70056-5255
(504) 620-5661
(504) 620-5674
Mailing address
3838 N CAUSEWAY BLVD, SUITE 2200, METAIRIE, LA 70002-8194
(504) 681-8259
(504) 681-8260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
11/20/2013
Last updated
05/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers