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THIBODAUX REGIONAL URGENT CARE, LLC
NPI 1790547370
Clinic/Center - Urgent Care in Gray, LA

Active since January 29, 2024CLIA 19D2301396 · Waiver
4218 WEST MAIN ST, GRAY, LA 70359(985) 493-4944(985) 493-4943 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thibodaux Regional Urgent Care, Llc NPPES

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

THIBODAUX REGIONAL URGENT CARE, LLC (NPI 1790547370), doing business as Thibodaux Regional Urgent Care, is a healthcare organization registered as an urgent care in Gray, Louisiana and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1790547370
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameTHIBODAUX REGIONAL URGENT CARE, LLC
Location Address4218 WEST MAIN STGray, LA 70359
Mailing Address602 N Acadia RdThibodaux, LA 70301-4823 · (985) 493-4907
Phone(985) 493-4944
Fax(985) 493-4943
Organization SubpartNo
Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1790547370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4218 WEST MAIN ST, Gray, LA 70359
Open in Google Maps ↗

Other Names 1

Doing Business AsThibodaux Regional Urgent Care

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thibodaux Regional Urgent Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Thibodaux Regional Urgent Care, LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Emergency Medicine2
Family Practice2
Internal Medicine1

Clinicians, nearest first (10)

Caroline Robichaux, MD
Family Practice
NPI 1174083620
1238 SAINT CHARLES ST
Houma, LA 70360
(985) 872-5267
✔ PECOS✔ Accepts Medicare6.2 mi
Sharon Mabry, FNP
Nurse Practitioner
NPI 1578606885
8166 MAIN ST TERREBONNE GENERAL MEDICAL CENTER ED FAST TRACK
Houma, LA 70360
(985) 873-4150
✔ PECOS✔ Accepts Medicare6.6 mi
Karley Domingue, APRN
Nurse Practitioner
NPI 1639877715
2031 AUDUBON AVE
Thibodaux, LA 70301
(985) 803-8383
✔ PECOS✔ Accepts Medicare7.7 mi
Seth Guidry, MD
Internal Medicine
NPI 1144607151
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts Medicare8.0 mi
Blainey Nicholas, M.D.
Emergency Medicine
NPI 1306870001
602 N ACADIA RD
Thibodaux, LA 70301
(504) 837-8000
✔ PECOS8.0 mi
Matthew Taylor, MD
Family Practice
NPI 1902434368
602 N ACADIA RD
Thibodaux, LA 70301
(337) 494-2023
✔ PECOS✔ Accepts Medicare8.0 mi
Brent Tatford, MD
Emergency Medicine
NPI 1043248198
1990 INDUSTRIAL BLVD
Houma, LA 70363
(985) 868-9300
✔ PECOS✔ Accepts Medicare8.8 mi
Crystal Hill, FNP-C
Nurse Practitioner
NPI 1790140549
740 JUSTA ST
Morgan City, LA 70380
(985) 384-1726
✔ PECOS✔ Accepts Medicare24 mi
Toni Roussel, FNP
Nurse Practitioner
NPI 1720012859
10771 PERKINS RD
Baton Rouge, LA 70810
(225) 256-1634
✔ PECOS✔ Accepts Medicare52 mi
Giselle Dicostanzo, NP
Nurse Practitioner
NPI 1063118941
3282 DRUSILLA LN
Baton Rouge, LA 70809
(225) 924-3906
✔ PECOS55 mi

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 Waiver 19D2301396

Thibodaux Regional Urgent Care · Gray, LA
Active · expires Mar 24, 2028
CLIA Number19D2301396
Laboratory TypeUrgent Care
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorBrent Tatford
Laboratory Phone(985) 493-4944
Laboratory LocationThibodaux Regional Urgent Care4218 West Main Street, Gray, LA 70359
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 Thibodaux Regional Urgent Care, LLC's NPI number?

The NPI number for Thibodaux Regional Urgent Care, LLC is 1790547370. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Thibodaux Regional Urgent Care.

Where is Thibodaux Regional Urgent Care, LLC located?

Thibodaux Regional Urgent Care, LLC is located at 4218 West Main St, Gray, LA 70359. The listed phone number is (985) 493-4944.

What is Thibodaux Regional Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Thibodaux Regional Urgent Care, LLC enrolled in Medicare?

Yes. Thibodaux Regional Urgent Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thibodaux Regional Urgent Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Thibodaux Regional Urgent Care, 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 (5), Emergency Medicine (2) and Family Practice (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thibodaux Regional Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2301396) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thibodaux Regional Urgent Care, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Urgent Care, 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 Thibodaux Regional Urgent Care, LLC was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.