J Kevin Ingram Medical, Inc
NPI 1871761619 · Family Medicine Physician · Vidalia, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J Kevin Ingram Medical, Inc is a Family Medicine Physician organization in Vidalia, LA (NPI 1871761619).
Provider details
- NPI number
- 1871761619
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnny Ingram, Owner(318) 336-8166
- License
- MD200671 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-02-14
- Last updated
- 2008-06-12
Frequently asked questions
- What is J Kevin Ingram Medical, Inc's NPI number?
- J Kevin Ingram Medical, Inc's National Provider Identifier (NPI) is 1871761619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J Kevin Ingram Medical, Inc?
- J Kevin Ingram Medical, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is J Kevin Ingram Medical, Inc located?
- J Kevin Ingram Medical, Inc's practice location on file with NPPES is 1806 Carter St, Vidalia, LA 71373-3115.
- What is J Kevin Ingram Medical, Inc's phone number?
- The practice phone number listed in the NPPES registry for J Kevin Ingram Medical, Inc is (318) 757-6526.
- Does J Kevin Ingram Medical, Inc accept Medicare?
- J Kevin Ingram Medical, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for J Kevin Ingram Medical, Inc?
- The authorized official listed on J Kevin Ingram Medical, Inc's NPPES record is Johnny Ingram, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J Kevin Ingram Medical, Inc's NPI active?
- Yes — J Kevin Ingram Medical, Inc's NPI (1871761619) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.