Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southcare Medical LLC

Organization Pediatrics Physician · NPI 1215294830

Southcare Medical LLC provides Pediatrics Physician services in Abbeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.

Licensed in
LA
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1305 N State St
Abbeville, LA 70510-2825
Phone: (337) 422-6240
Fax: (337) 422-6241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 2203782387 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence MD200292 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP07807 (LA)

Record details

NPI number1215294830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristyana Sugeng — Office Manager · (337) 422-6240
NPI enumeratedApril 19, 2012
Last updated in NPPESMarch 7, 2023
Certification dateOctober 5, 2022
Mailing address1305 N State St, Abbeville, LA 70510-2825

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