Active NPI
Greenlight Urgent Care Centers LLC
- Urgent Care Clinic/Center
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- GREENLIGHT URGENT CARE CENTERS LLC
- Practice address
- 404 W University Ave
Hammond, LA 70401-1302 - Phone
- (985) 348-0808
- NPI assigned
- Nov 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Elkersh
- Title
- Authorized Member
- Phone
- (985) 345-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
404 W University Ave
Hammond, LA 70401-1302
Mailing address
42131 Veterans Ave Ste 100
Hammond, LA 70403-1428
Phone (985) 345-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240503000314 | LA | Part B Supplier - Clinic/Group Practice | 2769822030 |
Receives reassigned benefits from 8 practitioners Practice locations: Hammond, LA; Covington, LA |
National Provider Directory
National Provider DirectoryLocations
187 Greenbrier Blvd
Ste C
Covington, LA 70433
1200 Business 190
Ste 2A
Covington, LA 70433
Phone (985) 348-0808
404 W University Ave
Hammond, LA 70401
Phone (985) 348-0808
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Hammond, LA
- NPI 1366475493
-
- Family Nurse Practitioner
- Hammond, LA
- NPI 1003231085
-
- Family Nurse Practitioner
- Zachary, LA
- NPI 1033794672
-
- Nurse Practitioner
- Hammond, LA
- NPI 1548928393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1649043100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42131 VETERANS AVE STE 100",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031428",
"telephone_number": "985-345-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W UNIVERSITY AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704011302",
"telephone_number": "985-348-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENLIGHT URGENT CARE CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "ELKERSH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "985-345-7246"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.