| Southeast Community Health Systems @ Albany | |
|
30575 Old Baton Rouge Highway Hammond LA 70403 | |
| (225) 306-2050 | |
| (225) 567-6962 |
| Full Name | Southeast Community Health Systems @ Albany |
|---|---|
| Speciality | Clinic/Center |
| Location | 30575 Old Baton Rouge Highway, Hammond, Louisiana |
| Authorized Official Name and Position | Alecia Cyprian (CEO) |
| Authorized Official Contact | 2253062000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Community Health Systems @ Albany Po Box 770 Zachary LA 70791-0770 Ph: (225) 306-2000 | Southeast Community Health Systems @ Albany 30575 Old Baton Rouge Highway Hammond LA 70403 Ph: (225) 306-2050 |
| NPI Number | 1366617367 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 03/23/2017 |
| Medicare PECOS PAC ID | 4284610437 |
|---|---|
| Medicare Enrollment ID | O20120808000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617367 | NPI | - | NPPES |
| 1061115 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Corey Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882420 PECOS PAC ID: 8729060777 Enrollment ID: I20040603000336 |
| Provider Name | Marvin Trotter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649374992 PECOS PAC ID: 1759344625 Enrollment ID: I20041111000094 |
| Provider Name | Avanelle V Jack |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316996671 PECOS PAC ID: 7012933344 Enrollment ID: I20051017000537 |
| Provider Name | Tammy M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720006315 PECOS PAC ID: 3971527417 Enrollment ID: I20060123000923 |
| Provider Name | Pamela Y Hollins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982663464 PECOS PAC ID: 0143327254 Enrollment ID: I20070524000651 |
| Provider Name | Tina T Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134126410 PECOS PAC ID: 0648327841 Enrollment ID: I20090403000362 |
| Provider Name | Radhiya K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316145345 PECOS PAC ID: 3476694977 Enrollment ID: I20100106000245 |
| Provider Name | Shannon Amacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154646388 PECOS PAC ID: 0648457770 Enrollment ID: I20110526000757 |
| Provider Name | Shenita L Paynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063790913 PECOS PAC ID: 1153591532 Enrollment ID: I20110822000168 |
| Provider Name | Brenda M Deel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992134845 PECOS PAC ID: 6406089747 Enrollment ID: I20140512001713 |
| Provider Name | Kimberly L Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184045932 PECOS PAC ID: 8820312879 Enrollment ID: I20150121002138 |
| Provider Name | Tammy Bihm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417319294 PECOS PAC ID: 7719270495 Enrollment ID: I20160719001940 |
| Provider Name | Michelle J Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689100786 PECOS PAC ID: 9638447709 Enrollment ID: I20170613002109 |
| Provider Name | Shelly C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538680822 PECOS PAC ID: 4082988167 Enrollment ID: I20170928001774 |
| Provider Name | Geneva Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245788587 PECOS PAC ID: 4880969526 Enrollment ID: I20171006000207 |
| Provider Name | Melody Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692627 PECOS PAC ID: 6709147465 Enrollment ID: I20180221002028 |
| Provider Name | Suniti Bhattarai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467778076 PECOS PAC ID: 3870803000 Enrollment ID: I20180912003302 |
| Provider Name | Keith Westerfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376866848 PECOS PAC ID: 8921123563 Enrollment ID: I20190401001041 |
| Provider Name | Ashley Annette Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700365731 PECOS PAC ID: 9436490331 Enrollment ID: I20190402001775 |
| Provider Name | Saman Karl Jayasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306162672 PECOS PAC ID: 4183957889 Enrollment ID: I20190612001848 |
| Provider Name | Rebecca Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730645888 PECOS PAC ID: 1254664873 Enrollment ID: I20190612002916 |
| Provider Name | Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295396901 PECOS PAC ID: 6709113566 Enrollment ID: I20190816001180 |
| Provider Name | Rosemarie V Lazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351365 PECOS PAC ID: 0143550863 Enrollment ID: I20190924000648 |
| Provider Name | Christopher C Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265950877 PECOS PAC ID: 9537435656 Enrollment ID: I20191003003670 |
| Provider Name | Denise A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417434713 PECOS PAC ID: 5294066932 Enrollment ID: I20191011000450 |
| Provider Name | Jeevan K Yenuganti |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083801880 PECOS PAC ID: 8820368079 Enrollment ID: I20200324000444 |
| Provider Name | Lara M Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366071318 PECOS PAC ID: 6103236286 Enrollment ID: I20201030000763 |
| Provider Name | Adjoa D Ofori-abebresse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926440 PECOS PAC ID: 8820383623 Enrollment ID: I20201113002432 |
| Provider Name | Bernetta Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20201214000731 |
| Provider Name | Michelle D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982738175 PECOS PAC ID: 6305906652 Enrollment ID: I20210112002883 |
| Provider Name | Kizzy S Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083176374 PECOS PAC ID: 9133533920 Enrollment ID: I20210208001432 |
| Provider Name | Demeka Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481516 PECOS PAC ID: 0547678781 Enrollment ID: I20210428000330 |
| Provider Name | Lyssa Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710649611 PECOS PAC ID: 0345639019 Enrollment ID: I20211118001018 |
| Provider Name | Michelle Ludwigsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568838001 PECOS PAC ID: 1456729474 Enrollment ID: I20221123001487 |
| Provider Name | Tabitha L Accardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528716164 PECOS PAC ID: 1951779578 Enrollment ID: I20221201001405 |
| Provider Name | Anna Ardoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750166229 PECOS PAC ID: 8820444102 Enrollment ID: I20231023001841 |
| Provider Name | Anissa Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871209973 PECOS PAC ID: 3678936663 Enrollment ID: I20231129001330 |
| Provider Name | Derrien D Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316646706 PECOS PAC ID: 4385094143 Enrollment ID: I20231220002413 |
| Provider Name | Thimeka Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032584 PECOS PAC ID: 3476904871 Enrollment ID: I20240110002741 |
| Provider Name | Carrie Davidson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376915942 PECOS PAC ID: 7214385319 Enrollment ID: I20240122003894 |
| Provider Name | Sondra Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871845784 PECOS PAC ID: 6103274204 Enrollment ID: I20240302000389 |
| Provider Name | Diana Edens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013463884 PECOS PAC ID: 2961851258 Enrollment ID: I20240304001729 |
| Provider Name | Cynthia A Sears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881989994 PECOS PAC ID: 6002265352 Enrollment ID: I20240304002405 |
Internal Medicine Of Hammond, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 W Thomas St, Hammond, LA 70401 Phone: 985-230-4466 | |
Total Healthcare Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15825 Professional Plz, Suite C, Hammond, LA 70403 Phone: 985-662-5776 Fax: 985-662-5718 | |
Accessible Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 J W Davis Dr Ste 102, Hammond, LA 70403 Phone: 985-956-7370 Fax: 985-956-7371 | |
In And Out Primary Care And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15814 Professional Plz, Hammond, LA 70403 Phone: 504-323-5758 Fax: 504-323-5824 | |
Tangi Wellness & Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 C M Fagan Dr Ste B3, Hammond, LA 70403 Phone: 985-345-1555 Fax: 985-345-1558 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Erwin Neil Way Hammond, Hammond, LA 70403 Phone: 888-414-7247 Fax: 225-658-1282 | |
North Oaks Orthopedic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15813 Paul Vega Md Dr, Suite 100, Hammond, LA 70403 Phone: 985-230-2663 Fax: 985-230-2665 |