Active NPI
Acadiana Pediatrics, L.L.C.
- Pediatrics Physician
- Rayne, LA
National Provider Identifier
1912435710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ACADIANA PEDIATRICS, L.L.C.
- Practice address
- 717 Curtis Dr
Rayne, LA 70578-8311 - Phone
- (337) 334-7551
- Fax
- (337) 334-7556
- NPI assigned
- May 24, 2017
- Last updated
- Jul 21, 2022
- 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
- Mark Dawson, MD
- Title
- Owner
- Phone
- (337) 334-7551
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
717 Curtis Dr
Rayne, LA 70578-8311
Mailing address
717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170828001342 | LA | Part B Supplier - Clinic/Group Practice | 7113299066 |
Receives reassigned benefits from 4 practitioners Practice locations: Rayne, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Acadiana Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Rayne, LA
- NPI 1780191890
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Pediatrics Physician
- Rayne, LA
- NPI 1356538276
-
- Nurse Practitioner
- Estherwood, LA
- NPI 1356481782
-
- Nurse Practitioner
- Rayne, LA
- NPI 1013496066
-
- Professional Counselor
- Crowley, LA
- NPI 1265312276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1912435710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 CURTIS DR",
"city": "RAYNE",
"state": "LA",
"postal_code": "705788311",
"telephone_number": "337-334-7551",
"fax_number": "337-334-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 CURTIS DR",
"city": "RAYNE",
"state": "LA",
"postal_code": "705788311",
"telephone_number": "337-334-7551",
"fax_number": "337-334-7556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADIANA PEDIATRICS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-334-7551",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rayne, LA
- Acadia Parish Police Jury Community Clinic
- Acadia Senior Care, LLC
- Acadiana Family Medical Associates, LLC
- Acadiana Family Practice Lab, Inc.
- Acadiana Pediatrics, L.L.C.
- After the Rain LLC (Celeste Audrey Savoy Lanclos LCSW)
- Donna Savoy Alleman, M.S., CCC-LSLP
- American Legion Hospital
- Arc of Acadiana, Inc (E B North Street Group Home)
- Arc of Acadiana, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.