OrganizationActive
Jefferson Community Health Care Centers Inc
NPI 1124000773 · General Practice Physician · Avondale, LA
Provider details
- NPI number
- 1124000773
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Lovell, Billing Office/Credentialing(504) 436-2223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4028 Highway 90 W
Avondale, LA 70094-2622
Phone: (504) 436-2223
Fax: (504) 436-2224
Street-level locationGet directions
Mailing address
4028 Highway 90 W
Avondale, LA 70094-2622
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.