CLINICS OF THE SOUTHEAST LLC
NPI 1053082743
Clinic/Center - Rural Health in Bogalusa, LA

Active since September 23, 2021
219 S BORDER DR, BOGALUSA, LA 70427(985) 732-1568 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clinics Of The Southeast Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICS OF THE SOUTHEAST LLC (NPI 1053082743), doing business as Bogalusa Family Medicine & Behavioral Health, is a healthcare organization registered as a rural health in Bogalusa, Louisiana and active in the NPI registry since September 2021. The organization lists Anthony Jude Palazzo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053082743
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLINICS OF THE SOUTHEAST LLC
Location Address219 S BORDER DRBogalusa, LA 70427-3671
Mailing AddressPo Box 370Bogalusa, LA 70429-0370 · (985) 732-1568
Organization SubpartYesParent: Clinic Of The Southeast Llc
Authorized OfficialAnthony Jude PalazzoCeo · (985) 735-7707
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1053082743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
219 S BORDER DR, Bogalusa, LA 70427

Other Names 1

Doing Business AsBogalusa Family Medicine & Behavioral Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinics Of The Southeast Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Clinics Of The Southeast LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Qualified Speech Language Pathologist
NPI 1477490209
219 S BORDER DR
Bogalusa, LA 70427
(985) 237-1683
Same address
Nurse Practitioner
NPI 1790450773
1416 GOBBLER HEAD DR
Bogalusa, LA 70427
(985) 730-6970
✔ PECOS✔ Accepts Medicare3.6 mi
Pediatric Medicine
NPI 1063457554
405 AVENUE F
Bogalusa, LA 70427
(985) 732-1568
✔ PECOS✔ Accepts Medicare3.6 mi
Qualified Speech Language Pathologist
NPI 1114322146
7109 MEADOWBROOK DR
Mandeville, LA 70471
(985) 640-3988
30 mi
Clinical Social Worker
NPI 1265574958
405 AVENUE F
Bogalusa, LA 70427
(985) 732-1568
✔ PECOS40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinics Of The Southeast LLC's NPI number?

The NPI number for Clinics Of The Southeast LLC is 1053082743. It was assigned to this organization in the NPPES registry on September 23, 2021. The provider is doing business as Bogalusa Family Medicine & Behavioral Health.

Where is Clinics Of The Southeast LLC located?

Clinics Of The Southeast LLC is located at 219 S Border Dr, Bogalusa, LA 70427. The listed phone number is (985) 732-1568.

What is Clinics Of The Southeast LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Clinics Of The Southeast LLC enrolled in Medicare?

Yes. Clinics Of The Southeast LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinics Of The Southeast LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Clinics Of The Southeast LLC, in Clinical Social Worker, Nurse Practitioner, Pediatric Medicine and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clinics Of The Southeast LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Clinics Of The Southeast LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinics Of The Southeast LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.