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KIDNEY CENTER OF SOUTH LOUISIANA, AMC
NPI 1386858918
Internal Medicine - Nephrology in Thibodaux, LA

Active since May 10, 2007CLIA 19D0995584 · Microscopy
604 N. ACADIA RD., SUITE 405, THIBODAUX, LA 70301(985) 446-0871(985) 446-0874 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidney Center Of South Louisiana, Amc NPPES

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

KIDNEY CENTER OF SOUTH LOUISIANA, AMC (NPI 1386858918) is a healthcare organization registered as a nephrology in Thibodaux, Louisiana and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through January 23, 2028 and lists Vicki C. Ledet, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1386858918
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CENTER OF SOUTH LOUISIANA, AMC
Location Address604 N. ACADIA RD., SUITE 405Thibodaux, LA 70301
Mailing Address604 N. Acadia Rd., Suite 405Thibodaux, LA 70301 · (985) 446-0871 · Fax (985) 446-0874
Phone(985) 446-0871
Fax(985) 446-0874
Organization SubpartYes
Authorized OfficialVicki C. LedetPractice Administrator · (985) 446-0871
Enumeration DateMay 10, 2007
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1386858918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
604 N. ACADIA RD., Thibodaux, LA 70301
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Other Identifiers 1

OtherCH9035LA · Railroad Medicare

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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) 19D0995584

Kidney Center Of South La, Amc · Thibodaux, LA
Active · expires Jan 23, 2028
CLIA Number19D0995584
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorVicki C. Ledet
Laboratory Phone(985) 446-0871
Laboratory LocationKidney Center Of South La, Amc604 N Acadia Road, Suite 405, Thibodaux, LA 70301
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES KEVIN MODISETTE M.D.
Internal Medicine (Nephrology)
604 N. ACADIA RD., SUITE 405
THIBODAUX, LA 70301
Lafourche Parish (985) 446-0871

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 Kidney Center Of South Louisiana, Amc's NPI number?

The NPI number for Kidney Center Of South Louisiana, Amc is 1386858918. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Kidney Center Of South Louisiana, Amc located?

Kidney Center Of South Louisiana, Amc is located at 604 N. Acadia Rd. Suite 405, Thibodaux, LA 70301. The listed phone number is (985) 446-0871.

What is Kidney Center Of South Louisiana, Amc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Kidney Center Of South Louisiana, Amc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0995584) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Center Of South Louisiana, Amc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kidney Center Of South Louisiana, Amc 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 Kidney Center Of South Louisiana, Amc was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.