THE PEDIATRIC CLINIC
NPI 1285751362
Nurse Practitioner - Pediatrics in Bogalusa, LA

Active since March 23, 2007
405 AVENUE F, BOGALUSA, LA 70427(985) 732-1568(985) 732-4458 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Pediatric Clinic NPPES

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

THE PEDIATRIC CLINIC (NPI 1285751362) is a healthcare organization registered as a pediatrics in Bogalusa, Louisiana and active in the NPI registry since March 2007. The organization lists Anthony Jude Palazzo, Owner, as its authorized official.

NPPES Registry Identity

NPI1285751362
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameANTHONY J. PALAZZO, M.D.,APMC
Location Address405 AVENUE FBogalusa, LA 70427-3633
Mailing AddressPo Box 370Bogalusa, LA 70429-0370 · (985) 732-1568 · Fax (985) 732-4458
Fax(985) 732-4458
Organization SubpartNo
Authorized OfficialAnthony Jude PalazzoOwner · (985) 732-1568
Enumeration DateMarch 23, 2007
Last NPPES UpdateApril 27, 2011
✔ NPI 1285751362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in LA · APO4688
Also ListedSpecialistTaxonomy 174400000X · License MD.07154R (LA)
405 AVENUE F, Bogalusa, LA 70427

Other Names 1

Doing Business AsThe Pediatric Clinic

Other Identifiers 1

Medicaid1947717LA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Pediatric Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20110809000069Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Pediatric Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1063457554
405 AVENUE F
Bogalusa, LA 70427
(985) 732-1568
✔ 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.

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 Anthony J. Palazzo, M.D.,apmc's NPI number?

The NPI number for Anthony J. Palazzo, M.D.,apmc is 1285751362. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as The Pediatric Clinic.

Where is Anthony J. Palazzo, M.D.,apmc located?

Anthony J. Palazzo, M.D.,apmc is located at 405 Avenue F, Bogalusa, LA 70427. The listed phone number is (985) 732-1568.

What is Anthony J. Palazzo, M.D.,apmc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Anthony J. Palazzo, M.D.,apmc enrolled in Medicare?

Yes. Anthony J. Palazzo, M.D.,apmc is registered in the Medicare PECOS enrollment system.

When is Anthony J. Palazzo, M.D.,apmc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Anthony J. Palazzo, M.D.,apmc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Anthony J. Palazzo, M.D.,apmc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anthony J. Palazzo, M.D.,apmc was last updated on April 27, 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.