ST. MARTINVILLE MATERNAL-CHILD CLINIC
NPI 1922283225
Clinic/Center - Rural Health in Saint Martinville, LA

Active since January 04, 2008CLIA 19D1009345 · Microscopy
1119 N MAIN ST, SAINT MARTINVILLE, LA 70582(337) 394-7774 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Martinville Maternal-child Clinic NPPES

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

ST. MARTINVILLE MATERNAL-CHILD CLINIC (NPI 1922283225) is a healthcare organization registered as a rural health in Saint Martinville, Louisiana and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through May 14, 2027 and lists Alec Moyer, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1922283225
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC GROUP OF ACADIANA, LLC
Location Address1119 N MAIN STSaint Martinville, LA 70582-3513
Mailing Address401 Youngsville Hwy Ste 100Lafayette, LA 70508-5173 · (337) 330-0031
Organization SubpartNo
Authorized OfficialAlec MoyerBusiness Manager · (337) 256-5111
Enumeration DateJanuary 4, 2008
Last NPPES UpdateDecember 16, 2019
NPI 1922283225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedSpecialistTaxonomy 174400000X · License 10447R (LA)
1119 N MAIN ST, Saint Martinville, LA 70582

Other Names 2

Doing Business AsSt. Martinville Maternal-child Clinic
Doing Business AsSt. Martinville Maternal-child And Adult Clinic

Other Identifiers 2

Other193885LA · Medicare Rural Health Id
Medicaid1027545LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 19D1009345

St Martinville Maternal-Child Clinic · Saint Martinville, LA
Active · expires May 14, 2027
CLIA Number19D1009345
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJibran E. Atwi
Laboratory Phone(337) 394-7774
Laboratory LocationSt Martinville Maternal-Child Clinic1119 N Main Street, Saint Martinville, LA 70582
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Physician Assistant
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Nurse Practitioner (Family)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Nurse Practitioner (Family)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582

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 1922283225. It was assigned to this organization in the NPPES registry on January 4, 2008. The provider is doing business as St. Martinville Maternal-Child Clinic and St. Martinville Maternal-Child and Adult Clinic.

Where is Pediatric Group Of Acadiana, LLC located?

Pediatric Group Of Acadiana, LLC is located at 1119 N Main St, Saint Martinville, LA 70582. The listed phone number is (337) 394-7774.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 19D1009345) is associated with this NPI, valid through May 14, 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 16, 2019. 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.