Individual provider Active NPI

Eleanor C Smith, MD

  • Family Medicine Physician
  • Covington, LA
National Provider Identifier
1255906681
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
341243 Issued in LA
Practice address
17240 Heartbeat Cir
Covington, LA 70435-5757
Phone
(985) 898-4001
Fax
(985) 867-3069
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL86130 SC
Family Medicine Physician 207Q00000X 341243 LA Primary

Addresses

Primary practice location

17240 Heartbeat Cir
Covington, LA 70435-5757

Mailing address

17240 Heartbeat Cir
Covington, LA 70435-5757
Phone (985) 898-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904001102 LA Practitioner - Family Practice 6800292392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 S Tyler St
Attention Managed Care Departmen
Covington, LA 70433-2330

1520 Hwy 22 W
Madisonville, LA 70447-9441
Phone (985) 773-1600

17240 Heartbeat Cir
Covington, LA 70435-5757
Phone (985) 898-4001

80 Gardenia Dr
Suite B
Covington, LA 70433-9196
Phone (985) 773-1660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Aug 1, 2024 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

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

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1255906681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 HEARTBEAT CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355757",
            "telephone_number": "985-898-4001",
            "fax_number": "985-867-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 HEARTBEAT CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355757",
            "telephone_number": "985-898-4001",
            "fax_number": "985-867-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELEANOR",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL86130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "341243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.