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 provides Pain Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (337) 896-6400
Fax: (337) 896-6441
Show map & directions

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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