EAST FELICIANA PRIMARY CARE CLINIC
NPI 1114047735
Internal Medicine in Jackson, LA

Active since March 29, 2007CLIA 19D0961333 · Microscopy
3050 CHARLES DR, JACKSON, LA 70748(225) 634-3517(225) 635-5057 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1114047735
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNWABUEZE NNAMDI INC
Location Address3050 CHARLES DRJackson, LA 70748-6135
Mailing Address3050 Charles DrJackson, LA 70748-6135 · (225) 634-3517 · Fax (225) 635-5057
Fax(225) 635-5057
Organization SubpartNo
Authorized OfficialStacie N NwabuezeAdministrator · (225) 634-3517
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 6, 2015
NPI 1114047735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · L12712R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License L12712R (LA)
3050 CHARLES DR, Jackson, LA 70748

Other Names 1

Doing Business AsEast Feliciana Primary Care Clinic

Other Identifiers 5

Medicare UPIN5E697CM35LA
Medicaid2330241LA
Medicaid1552232LA
Medicare UPING89594LA
Medicare ID-Type Unspecified5E697CM35LA · Nnamdi Nwabueze

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, LA
Active · expires Oct 15, 2027
CLIA Number19D0961333
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorNnamdi A. Nwabueze MD
Laboratory Phone(225) 634-3517
Laboratory LocationEast Feliciana Primary Care Clinic Nwabueze Nnamdi Inc3050 Charles Drive, Jackson, LA 70748
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
3050 CHARLES DR
JACKSON, LA 70748
Internal Medicine
3050 CHARLES DR
JACKSON, LA 70748

Frequently 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.