NPIMap

Organization Active NPI

Greenlight Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Hammond, LA
National Provider Identifier
1649043100
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mohamed ElkershNPI 1366475493
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

187 Greenbrier Blvd
Ste C
Covington, LA 70433

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

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.

Verify at the official NPI Registry.