Organization Active NPI

Acadiana Family Physicians, Inc., a.P.M.C.

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1629095518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACADIANA FAMILY PHYSICIANS, INC., A.P.M.C.
Practice address
427 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 234-1111
Fax
(337) 264-1320
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Paula G Quebedeaux
Title
Clinic Manager
Phone
(337) 234-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LA Primary

Addresses

Primary practice location

427 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

427 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 234-1111

Other identifiers 1

IdentifierTypeStateIssuer
1947075MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000086 LA Part B Supplier - Clinic/Group Practice 5193914927 Receives reassigned benefits from 14 practitioners
Practice locations: Lafayette, LA

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
19D0461003Acadiana Family Physicians427 Heymann Blvd, Lafayette, LA 70503AccreditationMay 5, 2027

National Provider Directory

National Provider Directory

Locations

427 Heymann Blvd
Lafayette, LA 70503
Phone (318) 234-1111

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629095518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-234-1111",
            "fax_number": "337-264-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-234-1111",
            "fax_number": "337-264-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA FAMILY PHYSICIANS, INC., A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEBEDEAUX",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "337-234-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947075",
            "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 Aug 22, 2020; 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.

Verify at the official NPI Registry.