Organization Active NPI

Pelican Medical, Wellness, and Cosmetic Center

  • Primary Care Clinic/Center
  • Gonzales, LA
National Provider Identifier
1497301709
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PELICAN MEDICAL, WELLNESS, AND COSMETIC CENTER
Practice address
6473 Hwy 44
Unit 103
Gonzales, LA 70737-8158
Phone
(225) 257-1040
Fax
(225) 257-1043
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Sarah Elizabeth Lemoine, FNP-CNPI 1669028429
Title
Owner
Phone
(225) 505-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6473 Hwy 44
Unit 103
Gonzales, LA 70737-8158

Mailing address

6473 Highway 44 Ste 103
Gonzales, LA 70737-8179
Phone (225) 257-1040

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
19D2171609Pelican Medical Wellness & Cosmetic Center6473 Hwy 44, Suite 103, Gonzales, LA 70737Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

6473 Highway 44
Ste 103
Gonzales, LA 70737
Phone (225) 257-1040

Practitioners & affiliated clinicians

Practitioners 1

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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1497301709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6473 HIGHWAY 44 STE 103",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378179",
            "telephone_number": "225-257-1040",
            "fax_number": "225-257-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 HWY 44",
            "address_2": "UNIT 103",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378158",
            "telephone_number": "225-257-1040",
            "fax_number": "225-257-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN MEDICAL, WELLNESS, AND COSMETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEMOINE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-505-3971",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.