Active NPI
Cardiovascular Clinic of Covington, LLC
- Cardiovascular Disease Physician
- Covington, LA
National Provider Identifier
1013302132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2095476 | Cardiovascular Clinic of Covington, LLC | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Acute Care Nurse Practitioner
- Covington, LA
- NPI 1881167039
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1922062512
-
- Medical Physician Assistant
- Baton Rouge, LA
- NPI 1750613345
-
- Nurse Practitioner
- Baton Rouge, LA
- NPI 1548784192
-
- Cardiovascular Disease Physician
- Hammond, LA
- NPI 1881696078
-
- Family Nurse Practitioner
- Hammond, LA
- NPI 1861787954
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
- Ilias N Caralopoulos, MD
- Emilio Rafael Cardenal, DO
- Cardiovascular and Thoracic Surgeons of the South, LLC
- Cardiovascular and Thoracic Surgical Specialists LLC
- Cardiovascular Associates, LLC.
- Cardiovascular Specialty Care Center ASC LLC
- Cardiovascular Specialty Care Center of Covington, LLC
- Cardiovascular Specialty Cath Center of Covington, LLC
- Amy Carey, RDN, LDN
- James E. Carinder, DO
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.