RIVERBRIDGE PULMONARY CLINIC
NPI 1639866353
Internal Medicine - Pulmonary Disease in Vidalia, LA
About Riverbridge Pulmonary Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERBRIDGE PULMONARY CLINIC (NPI 1639866353) is a healthcare organization registered as a pulmonary disease in Vidalia, Louisiana and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Vidalia and lists Sonja Sharp Watkins, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverbridge Pulmonary Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Riverbridge Pulmonary Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Professional Rehabilitation Hospital LLC's NPI number?
The NPI number for Professional Rehabilitation Hospital LLC is 1639866353. It was assigned to this organization in the NPPES registry on April 21, 2023. The provider is doing business as Riverbridge Pulmonary Clinic.
Where is Professional Rehabilitation Hospital LLC located?
Professional Rehabilitation Hospital LLC is located at 107 Front St, Vidalia, LA 71373. The listed phone number is (318) 336-6500.
What is Professional Rehabilitation Hospital LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Professional Rehabilitation Hospital LLC enrolled in Medicare?
Yes. Professional Rehabilitation Hospital LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Rehabilitation Hospital LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Professional Rehabilitation Hospital LLC, in Family Practice and Pulmonary Disease. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Professional Rehabilitation Hospital LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Riverbridge Pulmonary Clinic · NPI 1639866353
Pulmonary Disease organization in Vidalia, Louisiana. Organization record, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1639866353 (Entity type: Organization)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Legal business name:** Professional Rehabilitation Hospital Llc
- **Organization subpart:** Yes (part of Professional Rehabilitation Hospital, Llc)
- **Authorized official:** Sonja Watkins, CFO
## Practice location
- **Address:** 107 FRONT ST, Vidalia, LA 71373-2836
- **Phone:** (318) 336-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Pulmonary Disease (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639866353) · Data from the CMS NPPES public registry.