EAST FELICIANA PRIMARY CARE CLINIC
NPI 1114047735
Internal Medicine in Jackson, LA
About East Feliciana Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST FELICIANA PRIMARY CARE CLINIC (NPI 1114047735) is a healthcare organization registered as an internal medicine in Jackson, Louisiana and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through October 15, 2027 and lists Stacie N Nwabueze, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Feliciana Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to East Feliciana Primary Care Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0961333
East Feliciana Primary Care Clinic Nwabueze Nnamdi Inc · Jackson, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nwabueze Nnamdi Inc's NPI number?
The NPI number for Nwabueze Nnamdi Inc is 1114047735. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as East Feliciana Primary Care Clinic.
Where is Nwabueze Nnamdi Inc located?
Nwabueze Nnamdi Inc is located at 3050 Charles Dr, Jackson, LA 70748. The listed phone number is (225) 634-3517.
What is Nwabueze Nnamdi Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nwabueze Nnamdi Inc enrolled in Medicare?
Yes. Nwabueze Nnamdi Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nwabueze Nnamdi Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Nwabueze Nnamdi Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nwabueze Nnamdi Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0961333) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Nwabueze Nnamdi Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Nwabueze Nnamdi Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nwabueze Nnamdi Inc was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# East Feliciana Primary Care Clinic · NPI 1114047735
Internal Medicine organization in Jackson, Louisiana. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1114047735 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Nwabueze Nnamdi Inc
- **Organization subpart:** No
- **Authorized official:** Stacie Nwabueze, ADMINISTRATOR
## Practice location
- **Address:** 3050 CHARLES DR, Jackson, LA 70748-6135
- **Phone:** (225) 634-3517 · **Fax:** (225) 635-5057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2015
- **Other identifiers:** Medicare UPIN 5E697CM35 (LA); Medicaid 2330241 (LA); Medicaid 1552232 (LA); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114047735) · Data from the CMS NPPES public registry.