PEDIATRICS PRIMARY CARE CLINIC LLC
NPI 1962130443
Clinic/Center - Rural Health in Forest Hill, LA

Active since August 11, 2022CLIA 19D2273834 · Waiver
11098 HIGHWAY 165 S, FOREST HILL, LA 71430(318) 368-1236 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics Primary Care Clinic Llc NPPES

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

PEDIATRICS PRIMARY CARE CLINIC LLC (NPI 1962130443) is a healthcare organization registered as a rural health in Forest Hill, Louisiana and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Kelly Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1962130443
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRICS PRIMARY CARE CLINIC LLC
Location Address11098 HIGHWAY 165 SForest Hill, LA 71430-9789
Mailing AddressPo Box 457Forest Hill, LA 71430-0457 · (318) 794-2428
Organization SubpartNo
Authorized OfficialKelly CollinsOwner · (318) 794-2428
Enumeration DateAugust 11, 2022
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
NPI 1962130443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
11098 HIGHWAY 165 S, Forest Hill, LA 71430

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 of Waiver 19D2273834

Pediatrics Primary Care Clinic · Forest Hill, LA
Active · expires Dec 19, 2026
CLIA Number19D2273834
Laboratory TypePractitioner Other
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorKai A. Wicker-Brown
Laboratory Phone(318) 368-1237
Laboratory LocationPediatrics Primary Care Clinic11098 Hwy 165 South, Forest Hill, LA 71430
CLIA data matches this NPI record on: Address Name
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 Pediatrics Primary Care Clinic LLC's NPI number?

The NPI number for Pediatrics Primary Care Clinic LLC is 1962130443. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Pediatrics Primary Care Clinic LLC located?

Pediatrics Primary Care Clinic LLC is located at 11098 Highway 165 S, Forest Hill, LA 71430. The listed phone number is (318) 368-1236.

What is Pediatrics Primary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pediatrics Primary Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2273834) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrics Primary Care Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana list Pediatrics Primary Care 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 Pediatrics Primary Care Clinic LLC was last updated on January 18, 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.