Healthcare Provider Details

I. General information

NPI: 1629105416
Provider Name (Legal Business Name): PEDIATRIC HEALTH ASSOCIATES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 CHEVELLE CT
BATON ROUGE LA
70806-6502
US

IV. Provider business mailing address

624 CHEVELLE CT
BATON ROUGE LA
70806-6502
US

V. Phone/Fax

Practice location:
  • Phone: 225-925-2055
  • Fax: 225-925-2142
Mailing address:
  • Phone: 225-925-2055
  • Fax: 225-925-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN032514
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number06831R
License Number StateLA

VIII. Authorized Official

Name: DR. HELEN KAYE HEDGEMON
Title or Position: OWNER
Credential: M.D.
Phone: 225-925-2055