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

Dr. Johnny Kevin Ingram, MD

Individual provider Family Medicine Physician · NPI 1437100419

Dr. Johnny Kevin Ingram, MD is a Family Practice in Vidalia, Louisiana. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
24
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1154 Logan Sewell Dr
Vidalia, LA 71373-3342
Phone: (318) 336-8166
Fax: (318) 336-8169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD200671 (LA)

Record details

NPI number1437100419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2006
Last updated in NPPESFebruary 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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