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: October 25, 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

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)

St. Martinville Maternal-child Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20070330000487Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to St. Martinville Maternal-Child Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Pediatric Medicine7
Emergency Medicine1
Internal Medicine1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1952042822
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205178217
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOSSame address
Nurse Practitioner
NPI 1336564533
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOS1.5 mi
Pediatric Medicine
NPI 1366443467
520 N LEWIS ST SUITE 202
New Iberia, LA 70563
(337) 367-2001
✔ PECOS✔ Accepts Medicare7.8 mi
Pediatric Medicine
NPI 1437556289
2308 E MAIN ST STE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS8.9 mi
Pediatric Medicine
NPI 1891103222
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS8.9 mi
Pediatric Medicine
NPI 1588942064
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS8.9 mi
Pediatric Medicine
NPI 1912118217
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS8.9 mi
Nurse Practitioner
NPI 1003227513
2309 E MAIN ST SUITE 301
New Iberia, LA 70560
(337) 364-4415
✔ PECOS✔ Accepts Medicare9.0 mi
Pediatric Medicine
NPI 1154322923
401 YOUNGSVILLE HWY SUITE 100
Lafayette, LA 70508
(337) 330-0031
✔ PECOS✔ Accepts Medicare9.8 mi
Internal Medicine
NPI 1245593979
401 YOUNGSVILLE HWY SUITE 200B
Lafayette, LA 70508
(337) 330-0031
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1992402747
401 YOUNGSVILLE HWY STE 100
Lafayette, LA 70508
(337) 330-8660
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1134668411
203 ENERGY PKWY
Lafayette, LA 70508
(337) 266-8483
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1841700556
1101 S COLLEGE RD STE 201
Lafayette, LA 70503
(337) 264-7209
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1093433229
2825 GRAND POINT HWY LOT 6
Henderson, LA 70517
(337) 454-6238
✔ PECOS✔ Accepts Medicare15 mi
Emergency Medicine
NPI 1649603291
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS19 mi
Pediatric Medicine
NPI 1902842016
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS19 mi
Nurse Practitioner
NPI 1114381217
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1649036062
1048 E EBEY ST
Church Point, LA 70525
(337) 684-3000
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1134828262
1307 CROWLEY RAYNE HWY STE C
Crowley, LA 70526
(337) 250-4710
✔ PECOS✔ Accepts Medicare31 mi
See all 23 clinicians

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 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.

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.

Is Pediatric Group Of Acadiana, LLC enrolled in Medicare?

Yes. Pediatric Group Of Acadiana, LLC is registered in the Medicare PECOS enrollment system.

When is Pediatric Group Of Acadiana, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Louisiana, Rural Health Clinic) is due for revalidation by December 31, 2026. 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 Pediatric Group Of Acadiana, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Pediatric Group Of Acadiana, 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 (14), Pediatric Medicine (7) and Emergency Medicine (1). Of these, 2 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 1 other insurer 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.