Southern Medical Associates
NPI 1861646739ActiveOrganization· Internal Medicine· Gonzales, LA
Internal Medicine in Gonzales, Louisiana, registered in NPPES in November 2008. The authorized official on file is Gertrude Gboloo, MD, Owner.
Overview
| NPI | 1861646739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2008 |
| Last updated in NPPES | Nov 5, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | LA |
| Family Medicine | 207Q00000X | MD.202326 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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