BEAUREGARD FAMILY MEDICAL CENTER, LLC
NPI 1326387705
Clinic/Center - Multi-Specialty in Deridder, LA

Active since February 05, 2013CLIA 19D2109914 · Waiver
501 S PINE ST, DERIDDER, LA 70634(337) 462-7409(337) 462-7479 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2020, Nov 3, 2016 (2 updates tracked since 2016).

About Beauregard Family Medical Center, Llc NPPES

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

BEAUREGARD FAMILY MEDICAL CENTER, LLC (NPI 1326387705) is a healthcare organization registered as a multi-specialty in Deridder, Louisiana and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Darrell L Kingham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326387705
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEAUREGARD FAMILY MEDICAL CENTER, LLC
Location Address501 S PINE STDeridder, LA 70634-4939
Mailing AddressPo Box 730Deridder, LA 70634-0730 · (337) 462-7409 · Fax (337) 462-7479
Fax(337) 462-7479
Organization SubpartYesParent: West Louisiana Health Services, Inc
Authorized OfficialDarrell L KinghamCfo · (337) 462-7409
Enumeration DateFebruary 5, 2013
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1326387705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
501 S PINE ST, Deridder, LA 70634

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)

Beauregard Family Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Beauregard Family Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Family Practice2
Internal Medicine2
Certified Nurse Midwife (CNM)1
Obstetrics/Gynecology1
Orthopedic Surgery1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1528959798
501 S PINE ST
Deridder, LA 70634
(337) 463-9890
✔ PECOSSame address
Nurse Practitioner
NPI 1902482102
501 S PINE ST
Deridder, LA 70634
(337) 463-9890
✔ PECOSSame address
Nurse Practitioner
NPI 1699384628
501 S PINE ST
Deridder, LA 70634
(337) 463-9890
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023789328
501 S PINE ST
Deridder, LA 70634
(337) 463-9890
✔ PECOSSame address
Family Practice
NPI 1174585897
501 S PINE ST
Deridder, LA 70634
(337) 463-9890
✔ PECOSSame address
Nurse Practitioner
NPI 1063087112
206 W 5TH ST
Deridder, LA 70634
(337) 462-7160
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1184881021
206 W 5TH ST
Deridder, LA 70634
(337) 462-7160
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1295082568
600 S PINE ST
Deridder, LA 70634
(337) 462-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1689080269
301 S WASHINGTON ST
Deridder, LA 70634
(337) 460-7688
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1801382031
614 N PINE ST
Deridder, LA 70634
(337) 462-6000
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1154564169
931 VERONE TER
Leesville, LA 71446
(337) 404-1708
✔ PECOS20 mi
Nurse Practitioner
NPI 1154747186
503 W SALLIER ST
Lake Charles, LA 70601
(337) 433-9966
✔ PECOS✔ Accepts Medicare44 mi
Orthopedic Surgery
NPI 1710148085
501 KEYSER AVE
Natchitoches, LA 71457
(318) 238-4511
✔ PECOS64 mi
Internal Medicine
NPI 1992707236
5541 HIGHWAY 1
Marksville, LA 71351
(318) 240-7240
✔ PECOS✔ Accepts Medicare78 mi
Internal Medicine
NPI 1669094678
6912 FM 1488 RD STE A
Magnolia, TX 77354
(281) 356-1945
✔ PECOS✔ Accepts Medicare143 mi
Certified Nurse Midwife (CNM)
NPI 1912509555
1 GALLERIA BLVD
Metairie, LA 70001
(914) 919-9200
✔ PECOS196 mi
Family Practice
NPI 1265637870
901 GAUSE BLVD FIRST FLOOR
Slidell, LA 70458
(985) 280-8971
✔ PECOS213 mi

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 of Waiver 19D2109914

Beauregard Family Medical Center LLC · Deridder, LA
Active · expires Mar 3, 2028
CLIA Number19D2109914
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorEdwin R. Bonilla
Laboratory Phone(337) 463-9890
Laboratory LocationBeauregard Family Medical Center LLC501 S Pine Street, Deridder, LA 70634
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Beauregard Family Medical Center, LLC's NPI number?

The NPI number for Beauregard Family Medical Center, LLC is 1326387705. It was assigned to this organization in the NPPES registry on February 5, 2013.

Where is Beauregard Family Medical Center, LLC located?

Beauregard Family Medical Center, LLC is located at 501 S Pine St, Deridder, LA 70634. The listed phone number is (337) 462-7409.

What is Beauregard Family Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Beauregard Family Medical Center, LLC enrolled in Medicare?

Yes. Beauregard Family Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beauregard Family Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Beauregard Family Medical Center, LLC. 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 (10), Family Practice (2) and Internal Medicine (2). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beauregard Family Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2109914) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beauregard Family Medical Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list Beauregard Family Medical Center, 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 Beauregard Family Medical Center, LLC was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.