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SOUTHCARE MEDICAL LLC
NPI 1215294830
Clinic/Center - Rural Health in Abbeville, LA

Active since April 19, 2012
1305 N STATE ST, ABBEVILLE, LA 70510(337) 422-6240(337) 422-6241 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Oct 5, 2022, Dec 18, 2015 (3 updates tracked since 2015).

About Southcare Medical Llc NPPES

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

SOUTHCARE MEDICAL LLC (NPI 1215294830) is a healthcare organization registered as a rural health in Abbeville, Louisiana and active in the NPI registry since April 2012. The organization lists Cristyana Sugeng, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215294830
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHCARE MEDICAL LLC
Location Address1305 N STATE STAbbeville, LA 70510-2825
Mailing Address1305 N State StAbbeville, LA 70510-2825 · (337) 422-6240 · Fax (337) 422-6241
Phone(337) 422-6240
Fax(337) 422-6241
Organization SubpartNo
Authorized OfficialCristyana SugengOffice Manager · (337) 422-6240
Enumeration DateApril 19, 2012
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1215294830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in LA · 2203782387
Also ListedPediatricsTaxonomy 208000000X · License MD200292 (LA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP07807 (LA)
1305 N STATE ST, Abbeville, LA 70510
Open in Google Maps ↗

Other Identifiers 4

Other2203782387LA · Dhh Rhc
Other33165LA · La Board Of Pharmacy
Other19D2035943LA · Clia Waiver
Medicaid2406922LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.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)

Southcare Medical Llc 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 Southcare Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Simone Pitre, C-NP
Nurse Practitioner
NPI 1437160231
1305 N STATE ST
Abbeville, LA 70510
(337) 422-6240
✔ PECOS✔ Accepts MedicareSame address
Budi Sugeng, MD
Pediatric Medicine
NPI 1649303330
1305 N STATE ST
Abbeville, LA 70510
(337) 422-6240
✔ PECOS✔ Accepts MedicareSame address
Summer Smith, APRN
Nurse Practitioner
NPI 1295339679
506 W HIGHWAY 14
Delcambre, LA 70528
(337) 385-1972
✔ PECOS✔ Accepts Medicare8.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southcare Medical LLC's NPI number?

The NPI number for Southcare Medical LLC is 1215294830. It was assigned to this organization in the NPPES registry on April 19, 2012.

Where is Southcare Medical LLC located?

Southcare Medical LLC is located at 1305 N State St, Abbeville, LA 70510. The listed phone number is (337) 422-6240.

What is Southcare Medical LLC's specialty?

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

Is Southcare Medical LLC enrolled in Medicare?

Yes. Southcare Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcare Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southcare Medical LLC, in Nurse Practitioner and Pediatric Medicine. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southcare Medical LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Southcare Medical 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 Southcare Medical LLC was last updated on March 7, 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.