MEDICARE: PEDIATRIC HEALTH ASSOCIATES, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	06831R	LA
2	363LF0000X	Family Nurse Practitioner	RN032514	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1689664104	OTHER	LA	INDIVIDUAL NPI FOR NP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1487681359	OTHER	LA	INDIVIDUAL NPI FOR DR

General Provider Information

NPI Number	:	1629105416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC HEALTH ASSOCIATES, L.L.C.

Provider Business Mailing Address
First Line	:	624 CHEVELLE CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6502
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-925-2142

Provider Business Practice Location Address
First Line	:	624 CHEVELLE CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6502
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-925-2142

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HELEN KAYE HEDGEMON
Credential	:	M.D.
Telephone Number	:	225-925-2055

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	09/11/2025

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Directions to “PEDIATRIC HEALTH ASSOCIATES, L.L.C. ” Practice Location

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