=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023832870
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARISH STATE EMERGENCY PHYSICIANS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2024
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2315 E MAIN ST
-----------------------------------------------------
City | NEW IBERIA
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70560-4031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-364-0441
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 GALLERIA PKWY SE STE 960
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30339-5980
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-500-8147
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | BOYKIN ROBINSON
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 404-500-8147
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------