Individual provider Active NPI

Jeffrey Daniel Covington, M.D., PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
National Provider Identifier
1366973505
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
87422 Issued in SC
Practice address
3290 Knight St
Shreveport, LA 71105-2720
Phone
(318) 621-8820
Fax
(318) 841-9547
NPI assigned
Mar 21, 2017
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 338432 LA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-50522 KS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 32892 MS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 042.0015199 VT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X U8874 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X CDR.0004827 CO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2025-0242 NM
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E-17702 AR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 48089 AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 42985 OK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 70547 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13079-320 WI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 87422 SC Primary

Addresses

Primary practice location

3290 Knight St
Shreveport, LA 71105-2720

Mailing address

PO Box 3780
Tupelo, MS 38803-3780
Phone (318) 841-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA, OK, TX, AR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220505000243 SC Practitioner - Pathology 6406127414 Reassigns benefits to 1 organization
I20231209000032 LA Practitioner - Pathology 6406127414 Reassigns benefits to 1 organization
I20250729003779 OK Practitioner - Pathology 6406127414
I20250729004207 TX Practitioner - Pathology 6406127414
I20250729004483 AR Practitioner - Pathology 6406127414

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Delta Pathology Group LLCGroup PAC ID 4789639089, 28 clinicians

Practice addresses (Care Compare)

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (318) 841-9555

2915 Missouri Ave
Shreveport, LA 71109-4327
Phone (318) 364-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48089ALMDAnatomic Pathology & Clinical Pathology Physician
E-17702ARMDAnatomic Pathology & Clinical Pathology Physician
CDR.0004827COMDAnatomic Pathology & Clinical Pathology Physician
04-50522KSMDAnatomic Pathology & Clinical Pathology Physician
338432LAMDAnatomic Pathology & Clinical Pathology Physician
32892MSMDAnatomic Pathology & Clinical Pathology Physician
MD2025-0242NMMDAnatomic Pathology & Clinical Pathology Physician
87422SCMDAnatomic Pathology & Clinical Pathology Physician
70547TNMDAnatomic Pathology & Clinical Pathology Physician
U8874TXMDAnatomic Pathology & Clinical Pathology Physician
042.0015199VTMDAnatomic Pathology & Clinical Pathology Physician
13079-320WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Greenville PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 22, 2022 Accepting new patients
The Delta Pathology Group LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Consultants, Inc Clinical Pathology PastSince Jul 1, 2022 Accepting new patients
The Delta Pathology Group, L.L.C. Past Accepting new patients

Locations

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

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

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

229 W Causeway Approach
Mandeville, LA 70448
Phone (504) 722-7684

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5525 Mounes St
New Orleans, LA 70123
Phone (318) 621-8820

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1000 E Preston Ave
Shreveport, LA 71105
Phone (318) 841-9532

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2915 Missouri Ave
Shreveport, LA 71109
Phone (318) 364-2000

3290 Knight St
Shreveport, LA 71105
Phone (318) 621-8820

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

8 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 269-9899

8 Memorial Medical Ct
Ste 1
Greenville, SC 29605
Phone (864) 295-3492

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 5

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 4

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1366973505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780",
            "telephone_number": "318-841-9550",
            "fax_number": "188-419-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052720",
            "telephone_number": "318-621-8820",
            "fax_number": "318-841-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "338432",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-50522",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "32892",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VT",
            "license": "042.0015199",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "U8874",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "CDR.0004827",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2025-0242",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-17702",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "48089",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "42985",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "70547",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "13079-320",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "87422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.