FAMILY PRACTICE CENTER OF SULPHUR, LLC
NPI 1710188610
Family Medicine in Sulphur, LA

Active since May 29, 2007CLIA 19D0933527 · Accreditation
2509 MAPLEWOOD DR, SULPHUR, LA 70663(337) 625-0341(337) 625-0347 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Practice Center Of Sulphur, Llc NPPES

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

FAMILY PRACTICE CENTER OF SULPHUR, LLC (NPI 1710188610) is a healthcare organization registered as a family medicine in Sulphur, Louisiana and active in the NPI registry since May 2007. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Vicki Fitkin, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1710188610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE CENTER OF SULPHUR, LLC
Location Address2509 MAPLEWOOD DRSulphur, LA 70663-6105
Mailing Address2509 Maplewood DrSulphur, LA 70663-6105 · (337) 625-0341 · Fax (337) 625-0347
Fax(337) 625-0347
Organization SubpartNo
Authorized OfficialVicki FitkinClinic Manager · (337) 625-0341
Enumeration DateMay 29, 2007
Last NPPES UpdateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1710188610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2509 MAPLEWOOD DR, Sulphur, LA 70663

Other Identifiers 2

Medicaid1682969LA
Medicaid1684643LA

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Center Of Sulphur, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20040401001658Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Practice Center Of Sulphur, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1255331518
2509 MAPLEWOOD DR
Sulphur, LA 70663
(337) 625-0341
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1144221615
2509 MAPLEWOOD DR.
Sulphur, LA 70663
(337) 625-0341
✔ PECOS✔ Accepts MedicareSame address

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 Accreditation 19D0933527

Family Practice Center Of Sulphur, Inc · Sulphur, LA
Active · expires Sep 3, 2027
CLIA Number19D0933527
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorMichael Ardoin
Laboratory Phone(337) 625-0341
Laboratory LocationFamily Practice Center Of Sulphur, Inc2509 Maplewood Drive, Sulphur, LA 70663
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Family Practice Center Of Sulphur, LLC's NPI number?

The NPI number for Family Practice Center Of Sulphur, LLC is 1710188610. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Family Practice Center Of Sulphur, LLC located?

Family Practice Center Of Sulphur, LLC is located at 2509 Maplewood Dr, Sulphur, LA 70663. The listed phone number is (337) 625-0341.

What is Family Practice Center Of Sulphur, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Practice Center Of Sulphur, LLC enrolled in Medicare?

Yes. Family Practice Center Of Sulphur, LLC is registered in the Medicare PECOS enrollment system.

When is Family Practice Center Of Sulphur, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Practice Center Of Sulphur, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Family Practice Center Of Sulphur, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Practice Center Of Sulphur, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D0933527) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Practice Center Of Sulphur, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Family Practice Center Of Sulphur, 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 Family Practice Center Of Sulphur, LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.