NPIMap

Organization Active NPI

Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1003321597
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
LALCS31529 Issued in LA
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES, INC.
Practice address
1616 Fats Domino Ave
New Orleans, LA 70117-2950
Phone
(504) 533-4999
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip Brodt
Title
Ceo
Phone
(504) 533-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X LALCS31529 LA Primary

Addresses

Primary practice location

1616 Fats Domino Ave
New Orleans, LA 70117-2950

Mailing address

4960 Saint Claude Ave
New Orleans, LA 70117-4258
Phone (504) 533-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229001888 LA Part A Provider - Federally Qualified Health Center (FQHC) 2769611300 1 other NPI on this enrollment
Practice locations: New Orleans, LA

Federally qualified health center certification: CCN 191983

Legal name
BAPTIST COMMUNITY HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 29, 2017
Last certification
Dec 29, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 2011 in LA
Enrollment address
1616 Fats Domino Ave
New Orleans, LA 70117-2950

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Baptist Comm HLTH SVCS Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4209 Saint Claude Ave
New Orleans, LA 70117
Phone (504) 533-4999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12400/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adriene Gill Individual Corporate DirectorBoard Member Sep 15, 2011
Michael Flores Individual Corporate DirectorBoard Member Sep 15, 2011
Cary Don Calhoun Individual Corporate OfficerCfo Jan 1, 2018
Fred Luter Individual Corporate DirectorBoard Member Sep 15, 2011
Guy Williams Individual Corporate DirectorBoard Member Sep 15, 2011
Carolyn Tilton Individual Corporate DirectorBoard Member Jun 1, 2022
Richard Johnson Individual Corporate DirectorBoard Member Sep 15, 2011
Richard Moore Individual Corporate DirectorBoard Member Dec 31, 2023
Peter Adair Individual Corporate DirectorBoard Member Sep 15, 2011
Charles V Sanders Individual Corporate DirectorBoard Member Sep 11, 2011
Nancy Tardy Individual W-2 Managing EmployeeClinical Director Nov 1, 2017
Hannah H Pounds Individual Corporate OfficerCheif Medical Officer Feb 24, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Community Health Services, Inc.New Orleans, LA, CCN 191982 Federally qualified health center Operational/Managerial Control (100%) Sep 15, 2011
Baptist Community Health Services, Inc.Mandeville, LA, CCN 191084 Federally qualified health center Operational/Managerial Control Jun 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1003321597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701174258",
            "telephone_number": "504-533-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 FATS DOMINO AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701172950",
            "telephone_number": "504-533-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "BRODT",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-533-4999"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": "LALCS31529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.