OrganizationActive
Southern Pediatric Clinic
NPI 1487766804 · Pediatrics Physician · Alexandria, LA
Southern Pediatric Clinic is a Pediatrics Physician organization in Alexandria, LA (NPI 1487766804).
Provider details
- NPI number
- 1487766804
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stella Immanuel, Owner(318) 730-9760
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1416 Metro Dr
Alexandria, LA 71301-3424
Phone: (318) 561-4200
Fax: (318) 561-4205
Street-level locationGet directions
Mailing address
5910 Dublin Rd
Alexandria, LA 71303-5234
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2015-11-03
Frequently asked questions
- What is Southern Pediatric Clinic's NPI number?
- Southern Pediatric Clinic's National Provider Identifier (NPI) is 1487766804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pediatric Clinic?
- Southern Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Pediatric Clinic located?
- Southern Pediatric Clinic's practice location on file with NPPES is 1416 Metro Dr, Alexandria, LA 71301-3424.
- What is Southern Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Southern Pediatric Clinic is (318) 561-4200.
- Who is the authorized official for Southern Pediatric Clinic?
- The authorized official listed on Southern Pediatric Clinic's NPPES record is Stella Immanuel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pediatric Clinic's NPI active?
- Yes — Southern Pediatric Clinic's NPI (1487766804) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.