SOUTHSIDE FAMILY CLINIC LLC
NPI 1164112074
Clinic/Center - Rural Health in Arnaudville, LA
About Southside Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FAMILY CLINIC LLC (NPI 1164112074), doing business as Arnaudville Family Clinic, is a healthcare organization registered as a rural health in Arnaudville, Louisiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists John Dies, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Southside Family Clinic Llc 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 Southside Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 19D2136901
Southside Family Clinic · Abbeville, 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 1164112074. It was assigned to this organization in the NPPES registry on May 12, 2023. The provider is doing business as Arnaudville Family Clinic.
Where is Southside Family Clinic LLC located?
Southside Family Clinic LLC is located at 119 Fuselier Rd, Arnaudville, LA 70512. The listed phone number is (337) 385-1972.
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 at this address. 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 19D2136901) is associated with this NPI, valid through September 17, 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 May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southside Family Clinic Llc · NPI 1164112074
Rural Health organization in Arnaudville, Louisiana. Organization record, active in the CMS NPPES registry since May 12, 2023.
## Identity
- **NPI:** 1164112074 (Entity type: Organization)
- **Enumerated:** May 12, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Arnaudville Family Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Dies, PRESIDENT
## Practice location
- **Address:** 119 FUSELIER RD, Arnaudville, LA 70512-6134
- **Phone:** (337) 385-1972
## 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 at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164112074) · Data from the CMS NPPES public registry.