NPIMap

Organization Active NPI

Strawberry Patch Pediatrics LLC

Doing business as Strawberry Patch Pediatrics & Family Clinic

  • Rural Health Clinic/Center
  • Ponchatoula, LA
National Provider Identifier
1346895638
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STRAWBERRY PATCH PEDIATRICS LLC
Doing business as
Strawberry Patch Pediatrics & Family Clinic
You Thrive Family Healthcare Clinic of Ponchatoula
Practice address
1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone
(855) 869-9898
Fax
(985) 401-9898
NPI assigned
Aug 5, 2019
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernest Drake III
Title
Ceo
Phone
(225) 278-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557

Mailing address

1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Phone (855) 869-9898

Other names 2

  • Strawberry Patch Pediatrics & Family Clinic Doing business as
  • You Thrive Family Healthcare Clinic of Ponchatoula Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200109000559 LA Part A Provider - Rural Health Clinic 5294160859 Practice locations: Ponchatoula, LA
O20200124001188 LA Part B Supplier - Clinic/Group Practice 5294160859 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Amite, LA; Ponchatoula, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346895638. Details of each certification follow.

Rural health clinic certification: CCN 193958

Legal name
STRAWBERRY PATCH PEDIATRICS LLC
Doing business as
STRAWBERRY PATCH PEDIATRICS & FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 1, 2020
Last certification
May 1, 2023
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Dec 4, 2018 in LA
Enrollment address
1054 SW Railroad Ave
Ponchatoula, LA 70454-3557

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2172087Strawberry Patch Pediatrics & Family Medicine1054 SW Railroad Ave, Ponchatoula, LA 70454Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

1054 SW Railroad Ave
Ponchatoula, LA 70454
Phone (855) 869-9898

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ernest Drake Individual 5% Or Greater Direct Ownership InterestCeo Dec 4, 2018 100%
Operational/Managerial ControlCeo Dec 4, 2018 100%

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1346895638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 SW RAILROAD AVE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543557",
            "telephone_number": "855-869-9898",
            "fax_number": "985-401-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 SW RAILROAD AVE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543557",
            "telephone_number": "855-869-9898",
            "fax_number": "985-401-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY PATCH PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-278-7691",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strawberry Patch Pediatrics & Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "You Thrive Family Healthcare Clinic of Ponchatoula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.