SOUTHERN OBGYN LLC
NPI 1174015945
Obstetrics & Gynecology in Lafayette, LA
About Southern Obgyn Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OBGYN LLC (NPI 1174015945) is a healthcare organization registered as an obstetrics & gynecology in Lafayette, Louisiana and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Jennifer Pugliese, M.d./partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Southern Obgyn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Southern Obgyn LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Lafayette, LA 70508
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 19D2151909
Southern Obgyn, LLC · Lafayette, 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 Southern Obgyn LLC's NPI number?
The NPI number for Southern Obgyn LLC is 1174015945. It was assigned to this organization in the NPPES registry on June 6, 2018.
Where is Southern Obgyn LLC located?
Southern Obgyn LLC is located at 155 Hospital Dr Ste 410, Lafayette, LA 70503. The listed phone number is (337) 235-4460.
What is Southern Obgyn LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Southern Obgyn LLC enrolled in Medicare?
Yes. Southern Obgyn LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Obgyn LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Obgyn 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 Obstetrics/Gynecology (16) and Nurse Practitioner (4). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Obgyn LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2151909) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Obgyn LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Southern Obgyn 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 Southern Obgyn LLC was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Southern Obgyn Llc · NPI 1174015945
Obstetrics & Gynecology organization in Lafayette, Louisiana. Organization record, active in the CMS NPPES registry since June 6, 2018.
## Identity
- **NPI:** 1174015945 (Entity type: Organization)
- **Enumerated:** June 6, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Pugliese, M.D./PARTNER
## Practice location
- **Address:** 155 HOSPITAL DR STE 410, Lafayette, LA 70503-2852
- **Phone:** (337) 235-4460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (16), Nurse Practitioner (4); 3 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174015945) · Data from the CMS NPPES public registry.