PELICAN PEDIATRICS, LLC
NPI 1184053340
Clinic/Center - Rural Health in Homer, LA

Active since November 07, 2013CLIA 19D2064403 · Waiver
911 W MAIN ST, SUITE C, HOMER, LA 71040(318) 927-3255(318) 927-3257 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pelican Pediatrics, Llc NPPES

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

PELICAN PEDIATRICS, LLC (NPI 1184053340) is a healthcare organization registered as a rural health in Homer, Louisiana and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Leslie Couvillon Brasher, Owner, Manager, as its authorized official.

NPPES Registry Identity

NPI1184053340
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePELICAN PEDIATRICS, LLC
Location Address911 W MAIN ST, SUITE CHomer, LA 71040-3300
Mailing Address911 W Main St, Suite CHomer, LA 71040-3300 · (318) 927-3255 · Fax (318) 927-3257
Fax(318) 927-3257
Organization SubpartNo
Authorized OfficialLeslie Couvillon BrasherOwner, Manager · (318) 927-3255
Enumeration DateNovember 7, 2013
Last NPPES UpdateOctober 1, 2014
NPI 1184053340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in LA · 2203781980
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APO5536 (LA)
911 W MAIN ST, Homer, LA 71040

Other Identifiers 1

Medicaid1325295LA

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

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 19D2064403

Pelican Pediatrics, LLC · Homer, LA
Active · expires Aug 19, 2027
CLIA Number19D2064403
Laboratory TypePractitioner Other
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorLeslie Brasher
Laboratory Phone(318) 927-3255
Laboratory LocationPelican Pediatrics, LLC740 West Main Street, Homer, LA 71040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Pediatrics)
911 W MAIN ST, SUITE C
HOMER, LA 71040
Social Worker (Clinical)
911 W MAIN ST
HOMER, LA 71040
Exclusive Provider Organization
911 W MAIN ST, C
HOMER, LA 71040
Day Training, Developmentally Disabled Services
911 W MAIN ST, C
HOMER, LA 71040
Day Training, Developmentally Disabled Services
911 W MAIN ST, C
HOMER, LA 71040
Day Training, Developmentally Disabled Services
911 W MAIN ST, C
HOMER, LA 71040
Day Training, Developmentally Disabled Services
911 W MAIN ST, C
HOMER, LA 71040
Day Training, Developmentally Disabled Services
911 W MAIN ST, C
HOMER, LA 71040

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 Pelican Pediatrics, LLC's NPI number?

The NPI number for Pelican Pediatrics, LLC is 1184053340. It was assigned to this organization in the NPPES registry on November 7, 2013.

Where is Pelican Pediatrics, LLC located?

Pelican Pediatrics, LLC is located at 911 W Main St Suite C, Homer, LA 71040. The listed phone number is (318) 927-3255.

What is Pelican Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pelican Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2064403) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pelican Pediatrics, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Pelican Pediatrics, 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 Pelican Pediatrics, LLC was last updated on October 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.