Active NPI
Unity Healthcare, LLC
- Family Medicine Physician
- Lafayette, IN
National Provider Identifier
1346413614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNITY HEALTHCARE, LLC
- Practice address
- 3554 Promenade Pkwy
Suite F
Lafayette, IN 47909-8417 - Phone
- (765) 471-9146
- Fax
- (765) 477-0277
- NPI assigned
- Apr 8, 2008
- 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
- Heather Dawson
- Title
- Director of Billing
- Phone
- (765) 446-5417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IN | Primary |
Addresses
Primary practice location
3554 Promenade Pkwy
Suite F
Lafayette, IN 47909-8417
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200107480E | Medicaid | IN |
Other names 1
- Southside Family Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203001083 | IN | Part B Supplier - Clinic/Group Practice | 0244123362 |
Receives reassigned benefits from 69 practitioners This NPI is an additional NPI on the enrollment Practice locations: Lafayette, IN; West Lafayette, IN; La Fayette, IN; Flora, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0956271 | Southside Family Practice | Provider-performed microscopy | Jan 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Lafayette Surgical Clin
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Logansport, IN
- NPI 1033765110
-
- Family Medicine Physician
- Logansport, IN
- NPI 1417886813
-
- Vascular Surgery Physician
- Lafayette, IN
- NPI 1427759182
-
- Diagnostic Radiology Physician
- Lafayette, IN
- NPI 1497912497
-
- Family Medicine Physician
- Lafayette, IN
- NPI 1184175093
-
- Urgent Care Clinic/Center
- Lafayette, IN
- NPI 1417141144
-
- Diagnostic Radiology Physician
- Lafayette, IN
- NPI 1417909896
-
- Gastroenterology Physician
- Lafayette, IN
- NPI 1427143205
-
- Family Medicine Physician
- Flora, IN
- NPI 1447624960
-
- Ophthalmology Physician
- Lafayette, IN
- NPI 1487827994
-
- Podiatrist
- Frankfort, IN
- NPI 1508818980
-
- Podiatrist
- Lafayette, IN
- NPI 1548493067
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1346413614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3554 PROMENADE PKWY",
"address_2": "SUITE F",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479098417",
"telephone_number": "765-471-9146",
"fax_number": "765-477-0277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "765-446-5417"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200107480E",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.