NPIMap

Organization Active NPI

Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
National Provider Identifier
1952941767
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BAPTIST COMMUNITY HEALTH SERVICES, INC.
Practice address
1445 W Causeway Approach
Mandeville, LA 70471-3045
Phone
(504) 533-4999
NPI assigned
Jan 9, 2020
Last updated
Jul 1, 2026By the provider in NPPES
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 D Brodt
Title
Ceo
Phone
(504) 533-4999

Specialties & licenses 1

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

Addresses

Primary practice location

1445 W Causeway Approach
Mandeville, LA 70471-3045

Mailing address

4960 Saint Claude Ave
New Orleans, LA 70117-4258
Phone (504) 704-5949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140131000839 LA Part B Supplier - Clinic/Group Practice 2769611300 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
Practice locations: Mandeville, LA; New Orleans, LA
O20211029002171 LA Part A Provider - Federally Qualified Health Center (FQHC) 2769611300 Practice locations: Mandeville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952941767. Details of each certification follow.

Federally qualified health center certification: CCN 191084

Legal name
BAPTIST COMMUNITY HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2021
Last certification
Oct 27, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 2020 in LA
Enrollment address
1445 W Causeway Approach
Mandeville, LA 70471-3045

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 2

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

National Provider Directory

National Provider Directory

Locations

1445 W Causeway Approach
Mandeville, LA 70471
Phone (504) 533-4999

1616 Fats Domino Ave
New Orleans, LA 70117
Phone (504) 533-4999

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

Ownership & related parties

All disclosed owners & managing parties 13

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 Director Jun 1, 2020
Baptist Community Health Services, Inc. Organization, Mandeville, LA LLC, Non-profit Operational/Managerial Control Jun 1, 2020
Michael Flores Individual Corporate Director Jun 1, 2020
Cary Don Calhoun Individual Corporate OfficerCfo Dec 31, 2021
Fred Luter Individual Corporate Director Jun 1, 2020
Guy Williams Individual Corporate Director Jun 1, 2020
Carolyn Tilton Individual Corporate DirectorBoard Member Dec 31, 2023
Richard Johnson Individual Corporate Director Jun 1, 2020
Richard Moore Individual Corporate DirectorBoard Member Dec 31, 2023
Peter Adair Individual Corporate Director Jun 1, 2020
Charles V Sanders Individual Corporate Director Jun 1, 2020
Nancy Tardy Individual W-2 Managing Employee Jun 1, 2020
Hannah H Pounds Individual Corporate OfficerMedical Director Jun 1, 2020

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1952941767",
    "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": "504-704-5949",
            "fax_number": "504-704-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713045",
            "telephone_number": "504-533-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "BRODT",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "D",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.