NPIMap

Organization Active NPI

St Tammany Parish Hospital Service District No 1

Doing business as St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1083793582
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
St Tammany Physicians Network
Practice address
80 Gardenia Dr
Suite B
Covington, LA 70433-9168
Phone
(985) 871-5900
NPI assigned
Nov 3, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Mrs. Joan Coffman
Title
President and Ceo
Phone
(985) 898-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

80 Gardenia Dr
Suite B
Covington, LA 70433-9168

Mailing address

PO Box 669379
Dallas, TX 75266-9379

Other identifiers 1

IdentifierTypeStateIssuer
1942618MedicaidLA

Other names 1

  • St Tammany Physicians Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100901000157 LA Part A Provider - Hospital 0749273761 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Folsom, LA; Madisonville, LA; Mandeville, LA; Bush, LA
O20150915001107 LA Part B Supplier - Clinic/Group Practice 0749273761 Receives reassigned benefits from 76 practitioners
Practice locations: Bush, LA; Mandeville, LA; Madisonville, LA; Covington, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083793582. Details of each certification follow.

Hospital certification: CCN 190045

Legal name
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
ST TAMMANY PARISH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 12, 2025
Beds
281
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1202 S Tyler St
Covington, LA 70433-2330
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Tammany Parish HospitalCCN 190045 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
19D0460188St Tammany Physicians Network80 Gardenia Drive Suite B, Covington, LA 70433Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Tammany Parish Hospital Employee Pharmacy10 organizations share this tax ID, including this one
Part of
St Tammany Parish Hospital Employee Pharmacy

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

79630 Highway 21
Bush, LA 70431
Phone (985) 730-2252

1010 S Polk St
Covington, LA 70433
Phone (985) 871-5975

1010 S Polk St
#1
Covington, LA 70433
Phone (985) 871-5975

1203 S Tyler St
Ste 200
Covington, LA 70433
Phone (985) 892-9143

16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140

16300 Highway 1085
Covington, LA 70433
Phone (504) 988-2273

17240 Heartbeat Cir
Covington, LA 70435
Phone (985) 867-3073

606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766

71256 Francis Rd
Covington, LA 70433
Phone (985) 893-9622

71338 Highway 21
Ste 102
Covington, LA 70433
Phone (985) 773-1660

71338 Highway 21
Ste 107
Covington, LA 70433
Phone (985) 892-4622

71338 Highway 21
Ste 108
Covington, LA 70433
Phone (985) 871-5949

80 Gardenia Dr
Ste A
Covington, LA 70433
Phone (985) 871-5987

80 Gardenia Dr
Ste B
Covington, LA 70433
Phone (985) 871-5900

802 W 10th Ave
Ste 1
Covington, LA 70433
Phone (985) 871-5959

711 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4294

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

201 Saint Ann Dr
Ste A
Mandeville, LA 70471
Phone (985) 312-2100

3663 Highway 190
Ste 100
Mandeville, LA 70471
Phone (985) 272-1396

4410 Highway 22
Mandeville, LA 70471
Phone (785) 898-4410

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas D Davis Individual Corporate Director Jan 1, 2000
Gregory J. Lemons Individual Corporate Director Jan 1, 2000
John Allen Evans Individual Corporate Director Jan 1, 2000
Nicole Goodwin Individual W-2 Managing EmployeeAdminsitrative Assistant Managed Jan 1, 2000 100%
Sue B. Osbon Individual Corporate Director Jan 1, 2000
Joan M Coffman Individual Corporate OfficerPresident; Ceo Aug 1, 2018
W-2 Managing Employee Aug 1, 2018
Sandra Dipietro Individual Corporate OfficerCfo Sr VP Nov 1, 2014

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Shore Rehabilitation HospitalLacombe, LA, CCN 713025 Hospital 5% Or Greater Direct Ownership Interest (30%) Sep 6, 2019
St Tammany Hospital Home HealthMadisonville, LA, CCN 197168 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 24, 1984
Oct 24, 1984

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 341

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 341

Affiliated clinicians 733

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 733

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1083793582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDENIA DR",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339168",
            "telephone_number": "985-871-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "985-898-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942618",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Tammany Physicians Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Tammany Physicians Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.