Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccp Medical Management, LLC

Organization Pain Medicine Physician · NPI 1740466440

Ccp Medical Management, LLC is a Pain Medicine Physician in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

213 Fourpark Rd Ste C
Lafayette, LA 70507-2481
Phone: (337) 896-6400
Fax: (337) 896-6441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 026036 (LA)

Record details

NPI number1740466440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grover Phipps — Partner · (337) 896-6400
NPI enumeratedJanuary 14, 2008
Last updated in NPPESJanuary 14, 2008
Mailing address213 Fourpark Rd, Suite C, Lafayette, LA 70507-2481

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