Organization Active NPI

Cardiovascular Clinic of Covington, LLC

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1013302132
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CLINIC OF COVINGTON, LLC
Practice address
100 Innwood Dr
Covington, LA 70433-9254
Phone
(985) 273-3035
Fax
(985) 273-3036
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Underwood
Title
VP Treasurer
Phone
(817) 948-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

100 Innwood Dr
Covington, LA 70433-9254

Mailing address

341 Cool Springs Blvd Ste 305
Franklin, TN 37067-7332
Phone (817) 948-3428

Other names 1

  • Cardiovascular Clinic of Covington, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150429001451 LA Part B Supplier - Clinic/Group Practice 1759600588 Receives reassigned benefits from 6 practitioners
Practice locations: Bogalusa, LA; Covington, LA; Hammond, LA; Amite, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2095476Cardiovascular Clinic of Covington, LLC100 Innwood Dr, Covington, LA 70433Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

1616 S Columbia St
Ste A
Bogalusa, LA 70427
Phone (985) 273-3035

71071 Hwy 21
Ste a
Covington, LA 70433

100 Innwood Dr
Covington, LA 70433
Phone (985) 237-3035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10974/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1013302132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COOL SPRINGS BLVD STE 305",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677332",
            "telephone_number": "817-948-3428",
            "fax_number": "972-391-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNWOOD DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339254",
            "telephone_number": "985-273-3035",
            "fax_number": "985-273-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CLINIC OF COVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "817-948-3428"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Clinic of Covington, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.