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SURREY STREET COMMUNITY HEALTH CENTER
NPI 1316244338
Clinic/Center - Federally Qualified Health Center (FQHC) in Lafayette, LA

Active since February 28, 2011CLIA Certified · 2 labs
1002 12TH ST, LAFAYETTE, LA 70501(375) 340-1073(337) 534-0184 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2021, Oct 22, 2019 (2 updates tracked since 2019).

About Surrey Street Community Health Center NPPES

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

SURREY STREET COMMUNITY HEALTH CENTER (NPI 1316244338) is a healthcare organization registered as a federally qualified health center (fqhc) in Lafayette, Louisiana and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Monique Dumond, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316244338
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameIBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER, INC
Location Address1002 12TH STLafayette, LA 70501-6224
Mailing Address806 Jefferson TerNew Iberia, LA 70560-5727 · (337) 365-4945 · Fax (337) 367-3917
Phone(375) 340-1073
Fax(337) 534-0184
Organization SubpartYesParent: Iberia Comprehensive Community Health Center,inc.
Authorized OfficialMonique DumondCfo · (337) 365-4945
Enumeration DateFebruary 28, 2011
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1316244338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1002 12TH ST, Lafayette, LA 70501
Open in Google Maps ↗

Other Names 1

Doing Business AsSurrey Street Community Health Center

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 Superior HealthPlan 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)

Surrey Street Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Surrey Street Community Health Center, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner19
Family Practice6
Mental Health Counselor4
Clinical Social Worker3
Registered Dietitian or Nutrition Professional3
Obstetrics/Gynecology2
Pediatric Medicine2
Clinical Psychologist1
3 other specialties3

Nearest to this location (20)

See all 43
Kimberly Allen, APRN
Nurse Practitioner
NPI 1568874998
1004 SURREY ST
Lafayette, LA 70501
(337) 456-6768
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Gathe, LCSW
Clinical Social Worker
NPI 1437594181
1004 SURREY ST
Lafayette, LA 70501
(337) 456-6768
✔ PECOS✔ Accepts Medicare0.1 mi
Scotty Arceneaux
Mental Health Counselor
NPI 1154893899
500 PATTERSON ST
Lafayette, LA 70501
(337) 769-9451
✔ PECOS1.9 mi
Linda Lopez, LCSW
Clinical Social Worker
NPI 1821334186
500 PATTERSON ST
Lafayette, LA 70501
(337) 769-9451
✔ PECOS✔ Accepts Medicare1.9 mi
Ashanti Smith, M.D., PHARM.D
Family Practice
NPI 1073821567
2390 W CONGRESS ST
Lafayette, LA 70506
(337) 261-6000
✔ PECOS✔ Accepts Medicare2.7 mi
Ryan Francis, FNP-C
Nurse Practitioner
NPI 1306367834
3414 MOSS ST STE F
Lafayette, LA 70507
(337) 706-8986
✔ PECOS✔ Accepts Medicare2.9 mi
Cynthia Labiche, NP
Nurse Practitioner
NPI 1750323754
913 ALFRED ST
Scott, LA 70583
(375) 410-0023
✔ PECOS✔ Accepts Medicare5.5 mi
Toye Gaspard, MD
Pediatric Medicine
NPI 1114194420
4600 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70508
(337) 521-9100
✔ PECOS5.8 mi
Edgardo Concepcion, MD
Psychiatry
NPI 1326123415
1131 RUE DU BELIER
Lafayette, LA 70506
(337) 981-1400
✔ PECOS✔ Accepts Medicare5.9 mi
Martin Romero, LPC, NCC
Mental Health Counselor
NPI 1538361811
307 OAK BROOK BLVD
Lafayette, LA 70508
(985) 312-2525
✔ PECOS✔ Accepts Medicare8.3 mi
Sherri Hatch, APRN
Nurse Practitioner
NPI 1245240506
317 DERNIER ST
Saint Martinville, LA 70582
(337) 342-2566
✔ PECOS✔ Accepts Medicare13 mi
Jason Valls, MD
Family Practice
NPI 1245267244
317 DERNIER ST
Saint Martinville, LA 70582
(337) 342-2566
✔ PECOS✔ Accepts Medicare13 mi
Katherine Dela Rosa, MD
Internal Medicine
NPI 1366408510
1009 CHARITY ST
Abbeville, LA 70510
(337) 893-3443
✔ PECOS✔ Accepts Medicare19 mi
Tanecia August
Mental Health Counselor
NPI 1750179842
806 JEFFERSON TER
New Iberia, LA 70560
(337) 365-4945
✔ PECOS✔ Accepts Medicare20 mi
Edmond Bergeron, M.P.
Clinical Psychologist
NPI 1235211798
806 JEFFERSON TER
New Iberia, LA 70560
(337) 365-4945
✔ PECOS✔ Accepts Medicare20 mi
Bryan Granger, OD
Optometry
NPI 1497853782
806 JEFFERSON TER
New Iberia, LA 70560
(337) 364-0425
✔ PECOS✔ Accepts Medicare20 mi
Jennifer Ingolia
Registered Dietitian or Nutrition Professional
NPI 1366335770
806 JEFFERSON TER
New Iberia, LA 70560
(337) 365-4945
✔ Accepts Medicare20 mi
Robin Mouton, LCSW
Clinical Social Worker
NPI 1467787804
806 JEFFERSON TER
New Iberia, LA 70560
(337) 365-4945
✔ PECOS20 mi
Sarah Rito, MD
Pediatric Medicine
NPI 1932441722
806 JEFFERSON TER
New Iberia, LA 70560
(337) 367-3992
✔ PECOS20 mi
Erinn Olivier, MD
Obstetrics/Gynecology
NPI 1023208337
2309 E MAIN ST SUITE 501
New Iberia, LA 70560
(337) 256-5317
✔ PECOS21 mi
See all 43 clinicians

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 2

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) 19D2021003

Surrey Street Community Health Center · Lafayette, LA
Active · expires Mar 2, 2027
CLIA Number19D2021003
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorKeith G. Ramsey
Laboratory Phone(337) 365-4945
Laboratory LocationSurrey Street Community Health Center1002 12th Street, Lafayette, LA 70501
CLIA data matches this NPI record on: Address Name 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2035110

Surrey Street Community Health Center Site 1 · Lafayette, LA
Active · expires Jan 10, 2028
CLIA Number19D2035110
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorRohini S. Bernhard
Laboratory Phone(337) 365-4945
Laboratory LocationSurrey Street Community Health Center Site 11004 Surrey Street, Lafayette, LA 70501
CLIA data matches this NPI record on: Name 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 Iberia Comprehensive Community Health Center, Inc's NPI number?

The NPI number for Iberia Comprehensive Community Health Center, Inc is 1316244338. It was assigned to this organization in the NPPES registry on February 28, 2011. The provider is doing business as Surrey Street Community Health Center.

Where is Iberia Comprehensive Community Health Center, Inc located?

Iberia Comprehensive Community Health Center, Inc is located at 1002 12th St, Lafayette, LA 70501. The listed phone number is (375) 340-1073.

What is Iberia Comprehensive Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Iberia Comprehensive Community Health Center, Inc enrolled in Medicare?

Yes. Iberia Comprehensive Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iberia Comprehensive Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 11 Medicare specialties reassign their Medicare billing to Iberia Comprehensive Community Health Center, Inc. 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. The largest specialties are Nurse Practitioner (19), Family Practice (6) and Mental Health Counselor (4). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Iberia Comprehensive Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Iberia Comprehensive Community Health Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Iberia Comprehensive Community Health Center, Inc 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 Iberia Comprehensive Community Health Center, Inc was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.