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LAKEVIEW REGIONAL PHYSICIAN GROUP LLC
NPI 1285890467
Pediatrics in Covington, LA

Active since August 06, 2008CLIA 19D2128128 · Waiver
130 LAKEVIEW CIRCLE, COVINGTON, LA 70433(985) 892-6858(866) 457-6080 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeview Regional Physician Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEVIEW REGIONAL PHYSICIAN GROUP LLC (NPI 1285890467) is a healthcare organization registered as a pediatrics in Covington, Louisiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists John Rebok, Group Vice President/ao, as its authorized official.

NPPES Registry Identity

NPI1285890467
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKEVIEW REGIONAL PHYSICIAN GROUP LLC
Location Address130 LAKEVIEW CIRCLECovington, LA 70433-0001
Mailing AddressPo Box 405453Atlanta, GA 30384-5453 · (615) 373-7600
Phone(985) 892-6858
Fax(866) 457-6080
Organization SubpartNo
Authorized OfficialJohn RebokGroup Vice President/ao · (615) 377-5004
Enumeration DateAugust 6, 2008
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1285890467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

130 LAKEVIEW CIRCLE, Covington, LA 70433
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Other Identifiers 2

Medicaid1384313LA
Medicaid00837785MS

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 of Waiver 19D2128128

Lakeview Regional Physician Group-Northshore · Covington, LA
Active · expires Mar 23, 2027
CLIA Number19D2128128
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorMary Elizabeth Holzer
Laboratory Phone(985) 871-6020
Laboratory LocationLakeview Regional Physician Group-Northshore71192 Highway 21, Suite 100, Covington, LA 70433
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. BRANDON DEANN SIMON-DAVIS MD
Internal Medicine
130 LAKEVIEW CIRCLE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-6858

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 Lakeview Regional Physician Group LLC's NPI number?

The NPI number for Lakeview Regional Physician Group LLC is 1285890467. It was assigned to this organization in the NPPES registry on August 6, 2008.

Where is Lakeview Regional Physician Group LLC located?

Lakeview Regional Physician Group LLC is located at 130 Lakeview Circle, Covington, LA 70433. The listed phone number is (985) 892-6858.

What is Lakeview Regional Physician Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lakeview Regional Physician Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2128128) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeview Regional Physician Group LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan list Lakeview Regional Physician Group LLC 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 Lakeview Regional Physician Group LLC was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.