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CLARK INTEGRATED MEDICAL CLINICS LLC
NPI 1124529284
General Practice in Lafayette, LA

Active since February 23, 2018CLIA Certified · 3 labs
401 E VEROT SCHOOL RD, LAFAYETTE, LA 70508(337) 232-3353(337) 232-9304 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2020, Feb 26, 2018, Feb 23, 2018 (3 updates tracked since 2018).

About Clark Integrated Medical Clinics Llc NPPES

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

CLARK INTEGRATED MEDICAL CLINICS LLC (NPI 1124529284), doing business as Clark Integrated Medical Clinics, is a healthcare organization registered as a general practice in Lafayette, Louisiana and active in the NPI registry since February 2018. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jacob Scott Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1124529284
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLARK INTEGRATED MEDICAL CLINICS LLC
Location Address401 E VEROT SCHOOL RDLafayette, LA 70508-3315
Mailing Address401 E Verot School RdLafayette, LA 70508-3315 · (337) 232-3353 · Fax (337) 232-9304
Phone(337) 232-3353
Fax(337) 232-9304
Organization SubpartNo
Authorized OfficialJacob Scott ClarkOwner · (337) 232-3353
Enumeration DateFebruary 23, 2018
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1124529284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
401 E VEROT SCHOOL RD, Lafayette, LA 70508
Open in Google Maps ↗

Other Names 1

Doing Business AsClark Integrated Medical Clinics

Secondary Practice Locations 2

Location 11833 E Main StNew Iberia, LA 70560-4045 · Phone (337) 367-7463 · Fax (337) 232-3353
Location 21135 Expressway Dr Ste 100BPineville, LA 71360-6666 · Phone (318) 793-7910

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Clark Integrated Medical Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Clark Integrated Medical Clinics LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Chiropractic6
Nurse Practitioner3
Emergency Medicine1

Clinicians, nearest first (10)

Matthew Smith
Chiropractic
NPI 1588074272
854 KALISTE SALOOM RD SUITE C
Lafayette, LA 70508
(337) 232-3353
✔ Accepts Medicare1.5 mi
Jacob Clark, D.C.
Chiropractic
NPI 1003864620
854C KALISTE SALOOM RD
Lafayette, LA 70508
(337) 232-3353
✔ Accepts Medicare1.5 mi
Amy Weatherford, NP
Nurse Practitioner
NPI 1184240608
2912 JOHNSTON ST
Lafayette, LA 70503
(337) 296-0482
✔ PECOS✔ Accepts Medicare3.2 mi
Brad Boudreaux, MD
Emergency Medicine
NPI 1811076995
3619 AMBASSADOR CAFFERY PKWY BLDG E
Lafayette, LA 70503
(337) 534-4410
✔ PECOS✔ Accepts Medicare4.3 mi
Rachel Lacroix
Nurse Practitioner
NPI 1336793207
1050 E ADMIRAL DOYLE DR
New Iberia, LA 70560
(337) 376-0515
✔ PECOS✔ Accepts Medicare17 mi
Jake Gary, DC
Chiropractic
NPI 1033400585
1833 E MAIN ST
New Iberia, LA 70560
(337) 367-7463
✔ Accepts Medicare18 mi
Ryan Knoll, D.C.
Chiropractic
NPI 1669929188
5419 JACKSON ST. EXT. SUITE B
Alexandria, LA 71303
(318) 787-2716
✔ Accepts Medicare80 mi
Kayla Conway-Brown, APRN
Nurse Practitioner
NPI 1285314559
740 KEYSER AVE
Natchitoches, LA 71457
(318) 238-5300
✔ PECOS✔ Accepts Medicare126 mi
Joshua Couvillon, D.C.
Chiropractic
NPI 1235673864
19227 KATY FWY SUITE 100
Houston, TX 77094
(281) 347-4444
✔ Accepts Medicare224 mi
Kris Frankenberg, DC
Chiropractic
NPI 1194800730
5172 MCGINNIS FERRY RD
Alpharetta, GA 30005
(678) 624-0000
✔ Accepts Medicare530 mi

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 4

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 19D2294028

Clark Integrated Medical Clinics · Pineville, LA
Active · expires Nov 16, 2027
CLIA Number19D2294028
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorBrad Boudreaux
Laboratory Phone(318) 793-7910
Laboratory LocationClark Integrated Medical Clinics1135 Expressway Dr, Ste 100B, Pineville, LA 71360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2208766

Clark Integrated Medical Clinics · New Iberia, LA
Active · expires Jan 7, 2027
CLIA Number19D2208766
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorBrad A. Boudreaux
Laboratory Phone(337) 232-3353
Laboratory LocationClark Integrated Medical Clinics1833 East Main Street, New Iberia, LA 70560
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2163654

Clark Integrated Medical Clinica · Lafayette, LA
Active · expires Mar 18, 2027
CLIA Number19D2163654
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorBrad Boudreaux
Laboratory Phone(337) 232-3353
Laboratory LocationClark Integrated Medical Clinica401 E Verot School Rd, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2312506

Clark Integrated Medical Clinics · Lafayette, LA
Expired · Oct 13, 2026
CLIA Number19D2312506
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorBrad Boudreaux
Laboratory Phone(337) 232-3353
Laboratory LocationClark Integrated Medical Clinics417 Westgate Rd, Lafayette, LA 70506
CLIA data matches this NPI record on: Name Phone
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 Clark Integrated Medical Clinics LLC's NPI number?

The NPI number for Clark Integrated Medical Clinics LLC is 1124529284. It was assigned to this organization in the NPPES registry on February 23, 2018. The provider is doing business as Clark Integrated Medical Clinics.

Where is Clark Integrated Medical Clinics LLC located?

Clark Integrated Medical Clinics LLC is located at 401 E Verot School Rd, Lafayette, LA 70508. The listed phone number is (337) 232-3353.

What is Clark Integrated Medical Clinics LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Clark Integrated Medical Clinics LLC enrolled in Medicare?

Yes. Clark Integrated Medical Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clark Integrated Medical Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Clark Integrated Medical Clinics 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 Chiropractic (6), Nurse Practitioner (3) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clark Integrated Medical Clinics LLC hold CLIA laboratory certificates?

Yes. 3 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 Clark Integrated Medical Clinics LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Clark Integrated Medical Clinics 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 Clark Integrated Medical Clinics LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.