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
—
—
207RR0500X
Rheumatology Physician
—
—
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.
Contact us