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

Renee Roger Falgout, PA

Individual provider Physician Assistant · NPI 1174004501

Renee Roger Falgout, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2018, 8 years ago. Practices with South Louisiana Medical Associates, a 114-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone: (225) 765-5864
Fax: (225) 765-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 308883 (LA)

Record details

NPI number1174004501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESAugust 23, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Louisiana Medical Associates — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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