Darie S. Gilliam, FNP-C – Family Nurse Practitioner

Key facts

NPI: 1174526883
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 84714-2755 (LA)
Practice address: 11990 Jackson St
Clinton, LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
NPI assigned: May 27, 2005
Sex: Female
Sole proprietor: No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Primary Care Providers for a Healthy Feliciana, Inc. Federally Qualified Health Center (FQHC) · Clinton, LA · NPI 1821245127

Medicare reassignment NPD LA
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Slaughter, LA · NPI 1467608729

NPD
Primary Care Providers for a Healthy Feliciana, Inc Federally Qualified Health Center (FQHC) · Springfield, LA · NPI 1326923384

NPD
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Clinton, LA · NPI 1699878645

NPD (past)
Primary Care Providers for a Healthy Feliciana, Inc Federally Qualified Health Center (FQHC) · Loranger, LA · NPI 1710427455

NPD (past)
Primary Care Providers for a Healthy Feliciana, Inc Federally Qualified Health Center (FQHC) · Clinton, LA · NPI 1871692483

NPD (past)
Primary Care Providers for a Healthy Feliciana, Inc. Federally Qualified Health Center (FQHC) · Jackson, LA · NPI 1437258043

NPD (past)

Owned or controlled facilities with NPI records 57

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

Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Roseland, LA · NPI 1023995438

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1083591473

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1093692592

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1093693277

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Tickfaw, LA · NPI 1104703602

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1104704576

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Port Allen, LA · NPI 1245117639

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1265319784

CMS ownership CORPORATE OFFICER
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1407733934

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Port Allen, LA · NPI 1508743998

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1538046925

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Amite, LA · NPI 1578440087

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1730067190

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Amite, LA · NPI 1770460388

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Amite, LA · NPI 1831076439

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1851278345

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Hammond, LA · NPI 1881571305

CMS ownership CORPORATE OFFICER
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Loranger, LA · NPI 1891672382

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1891672390

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Independence, LA · NPI 1932086469

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1952288359

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Ponchatoula, LA · NPI 1952288466

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana Inc Federally Qualified Health Center (FQHC) · Loranger, LA · NPI 1962389452

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana, Inc Federally Qualified Health Center (FQHC) · Loranger, LA · NPI 1033097357

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL
Primary Care Providers for a Healthy Feliciana, Inc Federally Qualified Health Center (FQHC) · Denham Springs, LA · NPI 1053298612

CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL

View all 57

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 1977
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Primary Care Providers for a Healthy Feliciana, Inc (42 clinicians)

Practice addresses (Care Compare)

11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

All facility ownership & control disclosures 57

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

Facility	Type	Role	Since
WBR Primary Care at Port Allen High School Port Allen, LA · CCN 191101	Federally qualified health center	Corporate Officer (10%) W-2 Managing Employee (10%) Operational/Managerial Control (10%)	Sep 15, 2018 May 25, 2022 Sep 15, 2018
RKM at Southside Elementary School Denham Springs, LA · CCN 951100	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Denham Springs Elementary Denham Springs, LA · CCN 951026	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at French Settlement Elementary French Settlement, LA · CCN 951032	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Live Oak Middle Denham Springs, LA · CCN 951033	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Southside Jr High Denham Springs, LA · CCN 951038	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Port Allen Elementary Port Allen, LA · CCN 951106	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Hammond High Magnet Hammond, LA · CCN 951048	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Grays Creek Elementary Denham Springs, LA · CCN 951052	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at South Live Oak Elementary Denham Springs, LA · CCN 951059	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Caneview K-8 School Port Allen, LA · CCN 951061	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Martha Vineyard Elementary Ponchatoula, LA · CCN 951060	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Hammond Westside Montessori Hammond, LA · CCN 951064	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Maurepas School Maurepas, LA · CCN 951018	Federally qualified health center	Corporate Officer Operational/Managerial Control	May 1, 2005 May 1, 2005
RKM at Northside Elementary Denham Springs, LA · CCN 951101	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Walker Elementary Walker, LA · CCN 951099	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Denham Springs Jr High Denham Springs, LA · CCN 951133	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Holden Holden, LA · CCN 951039	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Eastside Elementary Denham Springs, LA · CCN 951040	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Juban Parc Elementary Denham Springs, LA · CCN 951042	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Amite Elementary Amite, LA · CCN 951055	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at North Live Oak Elementary Denham Springs, LA · CCN 951049	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Juban Parc Jr High Denham Springs, LA · CCN 951050	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Amite High Amite, LA · CCN 951056	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Loranger High School Loranger, LA · CCN 951051	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Amite Westside Magnet Amite, LA · CCN 951057	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Champ Cooper Elementary Ponchatoula, LA · CCN 951058	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Loranger Elementary Loranger, LA · CCN 951054	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Seventh Ward Elementary Denham Springs, LA · CCN 951053	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Westside Jr High Walker, LA · CCN 951045	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at South Fork Elementary Denham Springs, LA · CCN 951046	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Levi Milton Elementary Walker, LA · CCN 951047	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Roseland Elementary Roseland, LA · CCN 951134	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Woodland Park Magnet Hammond, LA · CCN 951066	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Ponchatoula High School Ponchatoula, LA · CCN 951071	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Tucker Memorial Elementary School Ponchatoula, LA · CCN 951062	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Ponchatoula Jr High School Ponchatoula, LA · CCN 951063	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Natalbany Middle School Hammond, LA · CCN 951087	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Perrin Early Learning Center Ponchatoula, LA · CCN 951072	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Midway Elementary Tickfaw, LA · CCN 951067	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Springfield Middle Springfield, LA · CCN 951161	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Live Oak Elementary Denham Springs, LA · CCN 951170	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Loranger Middle School Loranger, LA · CCN 951189	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Independence High School Independence, LA · CCN 951188	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Freshwater Elementary Denham Springs, LA · CCN 951191	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Tasp Hammond, LA · CCN 951192	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at North Corbin Elementary Walker, LA · CCN 951193	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at North Corbin Jr High Walker, LA · CCN 951194	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Greenville Park Leadership Academy Hammond, LA · CCN 951190	Federally qualified health center	Corporate Officer (100%)	May 1, 2005
RKM at Springfield Elementary Springfield, LA · CCN 951176	Federally qualified health center	Corporate Officer (100%)	May 1, 2005
RKM at Lewis Vincent Elementary Denham Springs, LA · CCN 951801	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at South Walker Elementary Walker, LA · CCN 951196	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Doyle Elementary Livingston, LA · CCN 951195	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Albany Middle School Albany, LA · CCN 951800	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Lucille Nesom Memorial School Tickfaw, LA · CCN 951199	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at DC Reeves Elementary Ponchatoula, LA · CCN 951806	Federally qualified health center	Corporate Officer (100%) Operational/Managerial Control (100%)	May 1, 2005 May 1, 2005
RKM at Hammond Eastside Upper Elementary Hammond, LA · CCN 951802	Federally qualified health center	Corporate Officer (100%)	May 1, 2005

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040305000209	LA	Practitioner - Nurse Practitioner	3476441197	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
84714-2755	LA	MD	Family Nurse Practitioner

Practice roles

Organization	Status	New patients
Primary Care Providers for a Healthy Feliciana, Inc	Current since Sep 9, 1999	Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc	Current since Sep 9, 1999	Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc.	Current	Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc	Past	Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc	Past	Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc.	Past	Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc	Past	Accepting new patients

Locations

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

12119 Saint Helena St
Clinton, LA 70722

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

Interoperability endpoints

Direct secure messaging: darie.gilliam.p1@direct.rkmprimarycare.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	84714-2755	LA	Yes

Addresses

Primary practice location

11990 Jackson St
Clinton, LA 70722-3210

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other identifiers

Identifier	Type	State	Issuer
1534935	Medicaid	LA
1653047	Medicaid	LA

Other providers in Clinton, LA

All providers in Clinton, LA · Family Nurse Practitioner in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.