Active NPI
Southpark Community Hospital
- General Practice Physician
- Lafayette, LA
National Provider Identifier
1275513798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SOUTHPARK COMMUNITY HOSPITAL
- Practice address
- 314 Youngsville Hwy
Lafayette, LA 70508-4524 - Phone
- (337) 769-4080
- NPI assigned
- Jan 19, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Deville
- Title
- Ceo
- Phone
- (337) 769-4080
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | |||
| Transplant Surgery Physician | 204F00000X | |||
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | |||
| Anesthesiology Physician | 207L00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Nephrology Physician | 207RN0300X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
314 Youngsville Hwy
Lafayette, LA 70508-4524
Mailing address
314 Youngsville Hwy
Lafayette, LA 70508-4524
Phone (337) 769-4080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1729388 | Medicaid | LA | |
| 61343 | Other | LA | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
314 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 330-2051
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Lafayette, LA
- NPI 1003852567
Internal Medicine
-
- Interventional Cardiology Physician
- Houma, LA
- NPI 1548267529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1275513798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 YOUNGSVILLE HWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084524",
"telephone_number": "337-769-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 YOUNGSVILLE HWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084524",
"telephone_number": "337-769-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHPARK COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DEVILLE",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-769-4080"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1729388",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "61343",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Southern Urology LLC
- Southern Urology, LLC
- Southern Vascular Associates LLC
- Southpark Acquisition Company LLC (Southpark Hospital Medical Group)
- Southpark Acquisition Company LLC (Southpark Community Hospital)
- Southpark Surgery Center, LLC (Cardiovascular Surgery Center)
- Southwest Imaging Associates, Apmc
- Southwest Louisiana Area Health Education Center
- Southwest Louisiana Breast Surgeons LLC
- Southwest Louisiana Independence Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.