FAMILY MEDICINE CLINIC
NPI 1114109923
Family Medicine in New Iberia, LA
About Family Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE CLINIC (NPI 1114109923) is a healthcare organization registered as a family medicine in New Iberia, Louisiana and active in the NPI registry since December 2007. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Jose A Mata, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Accreditation 19D0712259
Family Medicine Clinic · New Iberia, 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 Family Medicine Clinic's NPI number?
The NPI number for Family Medicine Clinic is 1114109923. It was assigned to this organization in the NPPES registry on December 4, 2007.
Where is Family Medicine Clinic located?
Family Medicine Clinic is located at 2309 East Main Street Suite 400, New Iberia, LA 70560. The listed phone number is (337) 367-0271.
What is Family Medicine Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medicine Clinic enrolled in Medicare?
Yes. Family Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Family Medicine Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Family Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Medicine Clinic. 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 Family Practice (4) and General Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medicine Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 19D0712259) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medicine Clinic accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Family Medicine Clinic 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 Family Medicine Clinic was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Family Medicine Clinic · NPI 1114109923
Family Medicine organization in New Iberia, Louisiana. Organization record, active in the CMS NPPES registry since December 4, 2007.
## Identity
- **NPI:** 1114109923 (Entity type: Organization)
- **Enumerated:** December 4, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jose Mata, PARTNER
## Practice location
- **Address:** 2309 EAST MAIN STREET, SUITE 400, New Iberia, LA 70560
- **Phone:** (337) 367-0271 · **Fax:** (337) 364-6139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), General Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114109923) · Data from the CMS NPPES public registry.