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SOUTHERN OBGYN LLC
NPI 1174015945
Obstetrics & Gynecology in Lafayette, LA

Active since June 06, 2018CLIA 19D2151909 · Waiver
155 HOSPITAL DR STE 410, LAFAYETTE, LA 70503(337) 235-4460 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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, 2026 and lists Jennifer Pugliese, M.d./partner, as its authorized official.

NPPES Registry Identity

NPI1174015945
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN OBGYN LLC
Location Address155 HOSPITAL DR STE 410Lafayette, LA 70503-2852
Mailing Address155 Hospital Dr Ste 410Lafayette, LA 70503-2852
Phone(337) 235-4460
Organization SubpartNo
Authorized OfficialJennifer PuglieseM.d./partner · (337) 591-0147
Enumeration DateJune 6, 2018
✔ NPI 1174015945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

155 HOSPITAL DR STE 410, Lafayette, LA 70503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, LA
Active · expires Jul 30, 2026
CLIA Number19D2151909
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorJennifer B. Pugliese
Laboratory Phone(337) 235-4460
Laboratory LocationSouthern Obgyn, LLC155 Hospital Dr, Suite 410, Lafayette, LA 70503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH RICKETT
Nurse Practitioner (Women's Health)
155 HOSPITAL DR STE 410
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-4460
MRS. JESTI TAYLOR BREAUX WHNP
Nurse Practitioner (Women's Health)
155 HOSPITAL DR STE 410
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-4460
JESSICA TRAHAN WHNP
Nurse Practitioner
155 HOSPITAL DR STE 410
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-4460

Frequently Asked Questions

What is SOUTHERN OBGYN LLC's NPI number?

The NPI number assigned to this healthcare provider is 1174015945, enumerated as an "organization" on June 06, 2018.

Where is the provider located?

The provider is located at 155 HOSPITAL DR STE 410 LAFAYETTE, LA 70503 and the phone number is (337) 235-4460.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does SOUTHERN OBGYN LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.