MANDEVILLE PRIVATE PHYSICIAN GROUP
NPI 1437553617
Family Medicine in Covington, LA

Active since October 16, 2014
141 LAKEVIEW CIR, COVINGTON, LA 70433(985) 630-9618(985) 231-7010 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandeville Private Physician Group NPPES

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

MANDEVILLE PRIVATE PHYSICIAN GROUP (NPI 1437553617) is a healthcare organization registered as a family medicine in Covington, Louisiana and active in the NPI registry since October 2014. The organization lists Richard Michael Jeansonne, Physician, as its authorized official.

NPPES Registry Identity

NPI1437553617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANDEVILLE PRIVATE PHYSICIAN GROUP
Location Address141 LAKEVIEW CIRCovington, LA 70433-7513
Mailing AddressPo Box 335Mandeville, LA 70470-0335 · (985) 630-9618 · Fax (985) 231-7010
Fax(985) 231-7010
Organization SubpartNo
Authorized OfficialRichard Michael JeansonnePhysician · (985) 630-9618
Enumeration DateOctober 16, 2014
Last NPPES UpdateMay 1, 2017
NPI 1437553617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 025708
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
141 LAKEVIEW CIR, Covington, LA 70433

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
141 LAKEVIEW CIR
COVINGTON, LA 70433
Pain Medicine (Interventional Pain Medicine)
141 LAKEVIEW CIR
COVINGTON, LA 70433
General Practice
141 LAKEVIEW CIR
COVINGTON, LA 70433

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 Mandeville Private Physician Group's NPI number?

The NPI number for Mandeville Private Physician Group is 1437553617. It was assigned to this organization in the NPPES registry on October 16, 2014.

Where is Mandeville Private Physician Group located?

Mandeville Private Physician Group is located at 141 Lakeview Cir, Covington, LA 70433. The listed phone number is (985) 630-9618.

What is Mandeville Private Physician Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mandeville Private Physician Group was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.