Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Shore Medical Group Inc

Organization Family Medicine Physician · NPI 1740591239

South Shore Medical Group Inc provides Family Medicine Physician services in Metairie, Louisiana. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4515 Shores Dr Ste 100
Metairie, LA 70006-6808 Not confirmed with CMS for 16 years — call before visiting
Phone: (504) 885-0515
Fax: (504) 885-0517
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1740591239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andriy Matrofaylo — Ceo · (504) 885-0515
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 29, 2010
Mailing address4515 Shores Dr, Suite 100, Metairie, LA 70006-6808

Other providers in Metairie