Organization Active NPI

Patel Mind and Body LLC

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1184332983
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATEL MIND AND BODY LLC
Practice address
603 S Tyler St
Covington, LA 70433-3345
Phone
(985) 333-1313
Fax
(985) 333-1545
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Jason Patel, MDNPI 1710418702
Title
Owner
Phone
(706) 371-2636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

603 S Tyler St
Covington, LA 70433-3345

Mailing address

603 S Tyler St
Covington, LA 70433-3345
Phone (985) 333-1313

Other practice location 1

605 S Tyler Street
Covington, LA 70433
Phone (706) 371-2636

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230830001058 LA Part B Supplier - Clinic/Group Practice 4587027180 Receives reassigned benefits from 3 practitioners
Practice locations: Covington, 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
19D2299265Patel Mind and Body603 S Tyler St, Covington, LA 70433Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

603 S Tyler St
Covington, LA 70433
Phone (985) 333-1313

605 S Tyler St
Covington, LA 70433
Phone (706) 371-2636

Practitioners & affiliated clinicians

Practitioners 4

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1184332983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333345",
            "telephone_number": "985-333-1313",
            "fax_number": "985-333-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333345",
            "telephone_number": "985-333-1313",
            "fax_number": "985-333-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Tyler Street",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "70433",
            "country_code": "US",
            "telephone_number": "706-371-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATEL MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-371-2636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "address_1": "603 S Tyler St",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704333345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 May 21, 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.