PEDIATRIC GROUP OF ACADIANA & FAMILY CLINIC
NPI 1073973533
Clinic/Center - Rural Health in Erath, LA

Active since February 26, 2016CLIA Certified · 2 labs
550 WEST VETERANS MEMORIAL DRIVE, ERATH, LA 70533(337) 918-6341(337) 918-6346 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Feb 26, 2016 (2 updates tracked since 2016).

About Pediatric Group Of Acadiana & Family Clinic NPPES

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

PEDIATRIC GROUP OF ACADIANA & FAMILY CLINIC (NPI 1073973533) is a healthcare organization registered as a rural health in Erath, Louisiana and active in the NPI registry since February 2016. The organization holds 2 active CLIA laboratory certificates and lists Antoinette Rabenaldt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073973533
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC GROUP OF ACADIANA LLC
Location Address550 WEST VETERANS MEMORIAL DRIVEErath, LA 70533-3430
Mailing Address302 Hacker StNew Iberia, LA 70560-4508 · (337) 330-2576 · Fax (337) 321-6295
Fax(337) 918-6346
Organization SubpartNo
Authorized OfficialAntoinette RabenaldtCredentialing Coordinator · (337) 330-2576
Enumeration DateFebruary 26, 2016
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1073973533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
550 WEST VETERANS MEMORIAL DRIVE, Erath, LA 70533

Other Names 1

Doing Business AsPediatric Group Of Acadiana & Family Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 19D2104513

Pediatric Group Of Acadiana & Family Clinic · Erath, LA
Active · expires Nov 4, 2027
CLIA Number19D2104513
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorJibran E. Atwi
Laboratory Phone(337) 918-6341
Laboratory LocationPediatric Group Of Acadiana & Family Clinic550 Veterans Memorial Drive, Erath, LA 70533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D0890950

Pediatric Group Of Acadiana · New Iberia, LA
Active · expires Apr 22, 2028
CLIA Number19D0890950
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorJibran Atwi
Laboratory Phone(337) 565-2692
Laboratory LocationPediatric Group Of Acadiana2308 East Main Street, Suite G, New Iberia, LA 70560
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Group Of Acadiana LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana LLC is 1073973533. It was assigned to this organization in the NPPES registry on February 26, 2016. The provider is doing business as Pediatric Group Of Acadiana & Family Clinic.

Where is Pediatric Group Of Acadiana LLC located?

Pediatric Group Of Acadiana LLC is located at 550 West Veterans Memorial Drive, Erath, LA 70533. The listed phone number is (337) 918-6341.

What is Pediatric Group Of Acadiana LLC's specialty?

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

Does Pediatric Group Of Acadiana LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Group Of Acadiana LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Pediatric Group Of Acadiana 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 Pediatric Group Of Acadiana LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.