SOUTHERN PODIATRY CLINIC LLC
NPI 1992122642
Clinic/Center - Podiatric in Bogalusa, LA
About Southern Podiatry Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PODIATRY CLINIC LLC (NPI 1992122642) is a healthcare organization registered as a podiatric in Bogalusa, Louisiana and active in the NPI registry since March 2014. The organization lists David P Allen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Southern Podiatry Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Podiatry Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Southern Podiatry Clinic LLC's NPI number?
The NPI number for Southern Podiatry Clinic LLC is 1992122642. It was assigned to this organization in the NPPES registry on March 19, 2014.
Where is Southern Podiatry Clinic LLC located?
Southern Podiatry Clinic LLC is located at 537 Kentucky Ave Ste B, Bogalusa, LA 70427. The listed phone number is (985) 215-5618.
What is Southern Podiatry Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Southern Podiatry Clinic LLC enrolled in Medicare?
Yes. Southern Podiatry Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Podiatry Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Podiatry Clinic LLC, in Physical Medicine and Rehabilitation and Podiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Podiatry 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 2 other insurers list Southern Podiatry 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 Southern Podiatry Clinic LLC was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Southern Podiatry Clinic Llc · NPI 1992122642
Podiatric organization in Bogalusa, Louisiana. Organization record, active in the CMS NPPES registry since March 19, 2014.
## Identity
- **NPI:** 1992122642 (Entity type: Organization)
- **Enumerated:** March 19, 2014
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** David Allen, OWNER
## Practice location
- **Address:** 537 KENTUCKY AVE STE B, Bogalusa, LA 70427-3913
- **Phone:** (985) 215-5618 · **Fax:** (985) 732-0100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (2), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1992122642) · Data from the CMS NPPES public registry.