MANDEVILLE PRIVATE PHYSICIAN GROUP
NPI 1437553617
Family Medicine in Covington, LA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandeville Private Physician Group 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 Mandeville Private Physician Group, 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.
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.
Is Mandeville Private Physician Group enrolled in Medicare?
Yes. Mandeville Private Physician Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mandeville Private Physician Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mandeville Private Physician Group. 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.
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.
# Mandeville Private Physician Group · NPI 1437553617
Family Medicine organization in Covington, Louisiana. Organization record, active in the CMS NPPES registry since October 16, 2014.
## Identity
- **NPI:** 1437553617 (Entity type: Organization)
- **Enumerated:** October 16, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Richard Jeansonne, PHYSICIAN
## Practice location
- **Address:** 141 LAKEVIEW CIR, Covington, LA 70433-7513
- **Phone:** (985) 630-9618 · **Fax:** (985) 231-7010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1437553617) · Data from the CMS NPPES public registry.