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Southern Pediatric Clinic

Pediatrics Physician in Alexandria, LA · enumerated 2006 · authorized official Stella Immanuel, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487766804

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Pediatric Clinic
Practice address 1416 Metro Dr, Alexandria, LA, 71301
Phone (318) 561-4200
Fax (318) 561-4205
Enumeration date Aug 31, 2006
Last updated in NPPES Nov 3, 2015

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Stella Immanuel
Title Owner
Phone (318) 730-9760

Other identifiers

Identifier Type State Issuer
1449237 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southern Pediatric Clinic?
The NPI for Southern Pediatric Clinic is 1487766804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southern Pediatric Clinic?
NPPES lists Stella Immanuel (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-03.