| Southern Family Medicine, Llc | |
|
10818 Hwy. 190 Opelousas LA 70570 | |
| (337) 543-7800 | |
| (337) 543-7900 |
| Full Name | Southern Family Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10818 Hwy. 190, Opelousas, Louisiana |
| Authorized Official Name and Position | Angela Goins (OWNER) |
| Authorized Official Contact | 3375437800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Family Medicine, Llc 10818 Hwy. 190 Opelousas LA 70570 Ph: (337) 543-7800 | Southern Family Medicine, Llc 10818 Hwy. 190 Opelousas LA 70570 Ph: (337) 543-7800 |
| NPI Number | 1538704010 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 9032540265 |
|---|---|
| Medicare Enrollment ID | O20200504000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538704010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Leon Gallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568554897 PECOS PAC ID: 3870680283 Enrollment ID: I20071101000394 |
| Provider Name | Sandy F Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356503759 PECOS PAC ID: 6002981255 Enrollment ID: I20080822000062 |
| Provider Name | Angela Thibodeaux-goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205918513 PECOS PAC ID: 3476740416 Enrollment ID: I20101203000137 |
| Provider Name | Toby Brandon Potier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801594023 PECOS PAC ID: 7416313366 Enrollment ID: I20230518001105 |
Opelousas General Health System Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 N Union St, Opelousas, LA 70570 Phone: 337-948-1802 Fax: 337-942-9074 | |
The Family Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-5706 Fax: 337-942-2644 | |
Acadiana Practitioners Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Main St, Opelousas, LA 70570 Phone: 337-447-4027 Fax: 337-585-2674 | |
Acadiana Practitioners Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Hospital Dr Ste 4, Opelousas, LA 70570 Phone: 337-447-4027 | |
Southwest Louisiana Primary Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8762 Highway 182, Opelousas, LA 70570 Phone: 337-942-2005 Fax: 337-942-8644 | |
Alan J Sonsky Md Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3975 I49 South Service Road, Suite 230, Opelousas, LA 70570 Phone: 337-948-7040 | |
Metoyer Medical Corporation Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 W North St, Opelousas, LA 70570 Phone: 337-948-4445 Fax: 337-948-1118 |