DELCAMBRE FAMILY CLINIC
NPI 1073109930
Clinic/Center - Rural Health in Delcambre, LA
About Delcambre Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELCAMBRE FAMILY CLINIC (NPI 1073109930) is a healthcare organization registered as a rural health in Delcambre, Louisiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists John Dies, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Delcambre Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Delcambre Family Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2210602
Delcambre Family Clinic · Delcambre, LAFrequently 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 Southside Family Clinic LLC's NPI number?
The NPI number for Southside Family Clinic LLC is 1073109930. It was assigned to this organization in the NPPES registry on December 15, 2020. The provider is doing business as Delcambre Family Clinic.
Where is Southside Family Clinic LLC located?
Southside Family Clinic LLC is located at 506 W Highway 14, Delcambre, LA 70528. The listed phone number is (337) 685-2020.
What is Southside Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Southside Family Clinic LLC enrolled in Medicare?
Yes. Southside Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Southside Family Clinic LLC. 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. The largest specialties are Nurse Practitioner (4), Chiropractic (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southside Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2210602) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southside Family Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Southside Family Clinic 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 Southside Family Clinic LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Delcambre Family Clinic · NPI 1073109930
Rural Health organization in Delcambre, Louisiana. Organization record, active in the CMS NPPES registry since December 15, 2020.
## Identity
- **NPI:** 1073109930 (Entity type: Organization)
- **Enumerated:** December 15, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Southside Family Clinic Llc
- **Organization subpart:** No
- **Authorized official:** John Dies, PRESIDENT
## Practice location
- **Address:** 506 W HIGHWAY 14, Delcambre, LA 70528-2308
- **Phone:** (337) 685-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Chiropractic (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073109930) · Data from the CMS NPPES public registry.