SOUTHSIDE FAMILY CLINIC LLC
NPI 1720508955
Clinic/Center - Rural Health in Abbeville, LA
About Southside Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FAMILY CLINIC LLC (NPI 1720508955) is a healthcare organization registered as a rural health in Abbeville, Louisiana and active in the NPI registry since June 2017. The organization lists John Dies, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Southside Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Southside Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Southside Family Clinic LLC's NPI number?
The NPI number for Southside Family Clinic LLC is 1720508955. It was assigned to this organization in the NPPES registry on June 20, 2017.
Where is Southside Family Clinic LLC located?
Southside Family Clinic LLC is located at 304 N Hospital Dr Ste A, Abbeville, LA 70510. The listed phone number is (337) 580-4061.
What is Southside Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Southside Family Clinic LLC enrolled in Medicare?
Yes. Southside Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Southside Family Clinic 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 (4), Chiropractic (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southside Family Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Southside Family Clinic 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 Southside Family Clinic LLC was last updated on April 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Southside Family Clinic Llc · NPI 1720508955
Rural Health organization in Abbeville, Louisiana. Organization record, active in the CMS NPPES registry since June 20, 2017.
## Identity
- **NPI:** 1720508955 (Entity type: Organization)
- **Enumerated:** June 20, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** John Dies, PRESIDENT
## Practice location
- **Address:** 304 N HOSPITAL DR STE A, Abbeville, LA 70510-4041
- **Phone:** (337) 580-4061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Chiropractic (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720508955) · Data from the CMS NPPES public registry.