Provider Demographics
NPI:1770517849
Name:MCGEE, JODI ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:ANTHONY
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 MEDICAL CENTER DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3221
Mailing Address - Country:US
Mailing Address - Phone:225-755-3070
Mailing Address - Fax:225-755-3085
Practice Address - Street 1:17050 MEDICAL CENTER DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3221
Practice Address - Country:US
Practice Address - Phone:225-755-3070
Practice Address - Fax:225-755-3085
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09420R208600000X
LAMD.09420R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1953695Medicaid
P00369001OtherRAILROAD MEDICARE
LAF28552Medicare UPIN
P00369001OtherRAILROAD MEDICARE
LA5R004Medicare ID - Type UnspecifiedMEDICARE