SOUTHERN FAMILY MEDICINE, LLC – NPI #1538704010
Clinic/Center

SOUTHERN FAMILY MEDICINE, LLC is an AHC clinic located in OPELOUSAS, LA. NPPES has assigned the NPI number 1538704010 to SOUTHERN FAMILY MEDICINE, LLC on November 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 4 years ago on Aug 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN FAMILY MEDICINE, LLC below.

NPI Profile for
SOUTHERN FAMILY MEDICINE, LLC

NPI Number
1538704010
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN FAMILY MEDICINE, LLC
Primary location
10818 HWY. 190
OPELOUSAS, LA 70570
Phone: (337) 543-7800 Fax: (337) 543-7900
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGELA GOINS
OWNER
Phone: (337) 543-7800
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.