Active NPI
Primary Care Providers for a Healthy Feliciana Inc
- Federally Qualified Health Center (FQHC)
- Hammond, LA
National Provider Identifier
1265319784
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Corporate family (same tax ID)24
- Medicare participation
- Federally qualified health center certification: CCN 951190
- All disclosed owners & managing parties15
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Hammond, LA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC
- Practice address
- 111 J W Davis Dr
Hammond, LA 70403-3931 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Aug 18, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Christi C Hunt
- Title
- Ceo
- Phone
- (225) 683-5292
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
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- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1104704576
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- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1154208676
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- Federally Qualified Health Center (FQHC)
- Port Allen, LA
- NPI 1245117639
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- Federally Qualified Health Center (FQHC)
- Independence, LA
- NPI 1366329856
-
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1407733934
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- Federally Qualified Health Center (FQHC)
- Walker, LA
- NPI 1114804770
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- Federally Qualified Health Center (FQHC)
- Denham Springs, LA
- NPI 1124905773
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- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1134884323
-
- Federally Qualified Health Center (FQHC)
- Walker, LA
- NPI 1215814876
-
- Federally Qualified Health Center (FQHC)
- Holden, LA
- NPI 1225915887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Federally qualified health center certification: CCN 951190
Medicare enrollment files- Legal name
- PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
- Doing business as
- RKM AT GREENVILLE PARK LEADERSHIP ACADEMY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 20, 2025
- Last certification
- Oct 20, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 111 JW Davis Dr
RM Library
Hammond, LA 70403-3931
All disclosed owners & managing parties 15
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard C Holton | Other | Oct 25, 2007 | |
| Neil M Manuel | Corporate Officer | Mar 28, 2022 | |
| Alfreda D Jackson | Other | Sep 29, 2009 | |
| Darie S Gilliam | Corporate Officer | May 1, 2005 | 100% |
| Kenny Sanders | Other | Sep 22, 2011 | |
| Matthew King | Corporate Officer | Feb 25, 2025 | 100% |
| Christy Bond | Other | Aug 28, 2023 | |
| Christi C Hunt | Corporate Officer | Oct 20, 2020 | 100% |
| W-2 Managing Employee | Oct 20, 2025 | ||
| Virdie Moeller | Other | Mar 28, 2013 | |
| Nicole C Wilcher | Other | Mar 28, 2013 | |
| Wayne Birt | Other | Aug 31, 2020 | |
| Columbus Hutchinson | Other | Mar 29, 2018 | |
| Anita P Cambre | Other | Oct 25, 2007 | |
| Mark Kemp | Other | Mar 28, 2013 | |
| Shunda Spurlock-Haile | Other | Jul 25, 2024 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260225002140 | LA | Part a Provider - Federally Qualified Health Center (FQHC) | 1052220985 | Practice locations: Hammond, LA |
National Provider Directory
National Provider Directory- Tax ID family
- Primary Care Providers for a Healthy Feliciana Inc
Locations
111 J W Davis Dr
Hammond, LA 70403
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 J W Davis Dr
Hammond, LA 70403-3931
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other names 1
NPPES NPI Registry- Greenville Park Leadership Academy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2025.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1265319784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"city": "CLINTON",
"state": "LA",
"postal_code": "707220395",
"telephone_number": "225-683-5292",
"fax_number": "225-683-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 J W DAVIS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704033931",
"telephone_number": "225-683-5292",
"fax_number": "225-683-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "CHRISTI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-683-5292"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenville Park Leadership Academy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
- Adele Prima
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana, Inc.
- Primecare Network, LLC
- Nicholas Raymond Primm
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.