NPIMap

Individual provider Active NPI

Mack Jay Groves IV, DPM

  • Primary Podiatric Medicine Podiatrist
  • Covington, LA
National Provider Identifier
1265460877
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
DPM.190R Issued in LA
Practice address
323 S Tyler St
Covington, LA 70433-3037
Phone
(985) 867-9605
Fax
(985) 867-9001
NPI assigned
Jun 30, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD190R LA
Primary Podiatric Medicine Podiatrist 213EP1101X DPM.190R LA Primary
Foot Surgery Podiatrist 213ES0131X PD190R LA

Addresses

Primary practice location

323 S Tyler St
Covington, LA 70433-3037

Mailing address

323 S Street
Covington, LA 70433-2352
Phone (985) 867-9605

Other identifiers 1

IdentifierTypeStateIssuer
1265460877OtherBLUECROSS

Other names 1

  • Jay Groves IV Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address FAHC@BELLSOUTH.NET Direct
Other URL FOOTANDANKLEHEALTHCENTER.COM Direct
CONNECT URL url Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000120 LA Practitioner - PodiatryPractitioner - Sports Medicine 5597706184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

323 S Tyler St
Covington, LA 70433-3037
Phone (985) 867-9605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue81
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD190RLAMDPodiatrist
DPM.190RLAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Health Center LLC Single Specialty CurrentSince May 21, 1997 Accepting new patients
Dr. Steve J. Watson &Dr. William H. Dabdoub, Apmc Single Specialty Past Accepting new patients

Locations

323 S Tyler St
Covington, LA 70433
Phone (985) 867-9605

802 W 10th Ave
Ste 2
Covington, LA 70433
Phone (985) 237-0170

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1265460877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S STREET",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332352",
            "telephone_number": "985-867-9605",
            "fax_number": "985-867-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333037",
            "telephone_number": "985-867-9605",
            "fax_number": "985-867-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "MACK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD190R",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "LA",
            "license": "DPM.190R",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD190R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "1265460877",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FAHC@BELLSOUTH.NET",
            "affiliation": "N",
            "endpointDescription": "SECURE E-MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SECURE-MAIL",
            "address_1": "323 S Tyler St",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704333037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FOOTANDANKLEHEALTHCENTER.COM",
            "affiliation": "N",
            "endpointDescription": "SECURE E-MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "DIRECT MAIL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MAIL",
            "address_1": "323 S Tyler St",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704333037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "323 S Tyler St",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704333037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "GROVES",
            "suffix": "IV",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.