Organization Active NPI

Southpark Community Hospital

  • General Practice Physician
  • Lafayette, LA
National Provider Identifier
1275513798
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1729388MedicaidLA
61343OtherLABLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.