PEDIATRIC GROUP OF ACADIANA & CHURCH POINT CLINIC
NPI 1619471463
Clinic/Center - Rural Health in Church Point, LA

Q: What is Pediatric Group Of Acadiana LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana LLC is 1619471463. It was assigned to this organization in the NPPES registry on March 19, 2018. The provider is doing business as Pediatric Group Of Acadiana & Church Point Clinic.

Q: What is Pediatric Group Of Acadiana LLC's specialty?

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

Active since March 19, 2018CLIA 19D2139711 · Waiver

1048 EAST EBEY STREET, CHURCH POINT, LA 70525(337) 684-3000(337) 210-2860 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 3, 2024, Mar 19, 2018 (2 updates tracked since 2018).

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About Pediatric Group Of Acadiana & Church Point Clinic NPPES

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

PEDIATRIC GROUP OF ACADIANA & CHURCH POINT CLINIC (NPI 1619471463) is a healthcare organization registered as a rural health in Church Point, Louisiana and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Antoinette Rabenaldt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619471463

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePEDIATRIC GROUP OF ACADIANA LLC

Location Address1048 EAST EBEY STREETChurch Point, LA 70525-7052

Mailing Address302 Hacker StNew Iberia, LA 70560-4508 · (337) 330-2576 · Fax (337) 321-6295

Phone(337) 684-3000

Fax(337) 210-2860

Organization SubpartNo

Authorized OfficialAntoinette RabenaldtCredentialing Coordinator · (337) 330-2576

Enumeration DateMarch 19, 2018

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1619471463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

1048 EAST EBEY STREET, Church Point, LA 70525

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Other Names 1

Doing Business AsPediatric Group Of Acadiana & Church Point Clinic

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 Magnolia Health and more.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 of Waiver 19D2139711

Pediatric Group Of Acadiana · Church Point, LA

Active · expires Nov 6, 2027

CLIA Number19D2139711

Laboratory TypePhysician Office

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorJibran E. Atwi

Laboratory Phone(337) 684-3000

Laboratory LocationPediatric Group Of Acadiana1048 E Ebey St, Church Point, LA 70525

CLIA data matches this NPI record on: Address Name Phone

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 Pediatric Group Of Acadiana LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana LLC is 1619471463. It was assigned to this organization in the NPPES registry on March 19, 2018. The provider is doing business as Pediatric Group Of Acadiana & Church Point Clinic.

Where is Pediatric Group Of Acadiana LLC located?

Pediatric Group Of Acadiana LLC is located at 1048 East Ebey Street, Church Point, LA 70525. The listed phone number is (337) 684-3000.

What is Pediatric Group Of Acadiana LLC's specialty?

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

Does Pediatric Group Of Acadiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2139711) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Group Of Acadiana LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Pediatric Group Of Acadiana 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 Pediatric Group Of Acadiana LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.