CAMELLIA CITY OBSTETRICS AND GYNECOLOGY
NPI 1184634040
Obstetrics & Gynecology in Slidell, LA

Active since August 09, 2006CLIA 19D0964187 · Microscopy
1150 ROBERT BLVD, SUITE 360, SLIDELL, LA 70458(985) 781-4848(985) 781-4850 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Camellia City Obstetrics And Gynecology NPPES

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

CAMELLIA CITY OBSTETRICS AND GYNECOLOGY (NPI 1184634040) is a healthcare organization registered as an obstetrics & gynecology in Slidell, Louisiana and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through December 20, 2026 and lists Diana Clavin, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1184634040
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCAMELLIA CITY OBSTETRICS AND GYNECOLOGY
Location Address1150 ROBERT BLVD, SUITE 360Slidell, LA 70458-2004
Mailing Address1150 Robert Blvd, Suite 360Slidell, LA 70458-2004 · (985) 781-4848 · Fax (985) 781-4850
Fax(985) 781-4850
Organization SubpartNo
Authorized OfficialDiana ClavinAuthorized Agent · (985) 781-4848
Enumeration DateAugust 9, 2006
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1184634040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · 90577
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.
1150 ROBERT BLVD, Slidell, LA 70458

Other Identifiers 4

Other5U504DS23LA · Medicare La Linking No. - Ann R. Lobello, Md
Medicare PIN5DS23LA
Other5W897DS23LA · Medicare La Linking No. Diana K. Clavin, Md
Medicaid2113381LA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camellia City Obstetrics And Gynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Camellia City Obstetrics And Gynecology, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Obstetrics/Gynecology
NPI 1669463915
1150 ROBERT BLVD STE 220
Slidell, LA 70458
(985) 781-4848
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1710962816
1150 ROBERT BLVD SUITE 360
Slidell, LA 70458
(985) 781-4848
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1558049817
1150 ROBERT BLVD STE 360
Slidell, LA 70458
(985) 781-4848
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 19D0964187

Camellia City Obstetrics & Gynecology, LLC · Slidell, LA
Active · expires Dec 20, 2026
CLIA Number19D0964187
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorDiana K. Clavin
Laboratory Phone(985) 781-4848
Laboratory LocationCamellia City Obstetrics & Gynecology, LLC1150 Robert Boulevard, Suite 220, Slidell, LA 70458
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Camellia City Obstetrics And Gynecology's NPI number?

The NPI number for Camellia City Obstetrics And Gynecology is 1184634040. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Camellia City Obstetrics And Gynecology located?

Camellia City Obstetrics And Gynecology is located at 1150 Robert Blvd Suite 360, Slidell, LA 70458. The listed phone number is (985) 781-4848.

What is Camellia City Obstetrics And Gynecology's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Camellia City Obstetrics And Gynecology enrolled in Medicare?

Yes. Camellia City Obstetrics And Gynecology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Camellia City Obstetrics And Gynecology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Camellia City Obstetrics And Gynecology, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Camellia City Obstetrics And Gynecology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0964187) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Camellia City Obstetrics And Gynecology accept?

Health plans from Molina Healthcare list Camellia City Obstetrics And Gynecology 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 Camellia City Obstetrics And Gynecology was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.