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CLINICS OF THE SOUTHEAST LLC
NPI 1053979815
Clinic/Center - Rural Health in Bogalusa, LA

Active since June 05, 2019
405 AVENUE F, BOGALUSA, LA 70427(985) 732-1568(985) 732-4458 Get Directions Write a Review

NPPES record last updated: June 5, 2019. 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 1053979815), doing business as Bogalusa Pediatric Clinic, is a healthcare organization registered as a rural health in Bogalusa, Louisiana and active in the NPI registry since June 2019. The organization lists Anthony Jude Palazzo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053979815
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLINICS OF THE SOUTHEAST LLC
Location Address405 AVENUE FBogalusa, LA 70427-3633
Mailing AddressPo Box 370Bogalusa, LA 70429-0370 · (985) 732-1568 · Fax (985) 732-4458
Phone(985) 732-1568
Fax(985) 732-4458
Organization SubpartNo
Authorized OfficialAnthony Jude PalazzoCeo · (985) 732-1568
Enumeration DateJune 5, 2019
✔ NPI 1053979815 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 ListedPediatricsTaxonomy 208000000X
405 AVENUE F, Bogalusa, LA 70427
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Other Names 1

Doing Business AsBogalusa Pediatric Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. They are listed nearest first.

Clinicians, nearest first (5)

Robin Richardson, LCSW
Clinical Social Worker
NPI 1265574958
405 AVENUE F
Bogalusa, LA 70427
(985) 732-1568
✔ PECOSSame address
Kimberly Cagle, FNP
Nurse Practitioner
NPI 1790450773
1416 GOBBLER HEAD DR
Bogalusa, LA 70427
(985) 730-6970
✔ PECOS✔ Accepts Medicare38 mi
Anthony Palazzo, M.D.
Pediatric Medicine
NPI 1063457554
405 AVENUE F
Bogalusa, LA 70427
(985) 732-1568
✔ PECOS✔ Accepts Medicare38 mi
Anna Axum, M.S., CCC-SLP
Qualified Speech Language Pathologist
NPI 1477490209
219 S BORDER DR
Bogalusa, LA 70427
(985) 237-1683
40 mi
Heather Palazzo, M.S. CCC-SLP
Qualified Speech Language Pathologist
NPI 1114322146
7109 MEADOWBROOK DR
Mandeville, LA 70471
(985) 640-3988
46 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 1053979815. It was assigned to this organization in the NPPES registry on June 5, 2019. The provider is doing business as Bogalusa Pediatric Clinic.

Where is Clinics Of The Southeast LLC located?

Clinics Of The Southeast LLC is located at 405 Avenue F, 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. 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 2 other insurers 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 June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.