NPIMap

Individual provider Active NPI

Garrett Michael Simoneaux, PA-C

  • Physician Assistant
  • Covington, LA
National Provider Identifier
1457715930
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
302860 Issued in LA
Practice address
76 Starbrush Cir
Covington, LA 70433-7208
Phone
(985) 400-5778
Fax
(985) 888-1042
NPI assigned
Apr 11, 2016
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 302860 LA Primary

Addresses

Primary practice location

76 Starbrush Cir
Covington, LA 70433-7208

Mailing address

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 400-5778

Other practice location 1

15828 Professional Plz
Hammond, LA 70403-1453
Phone (985) 400-5778

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
I20160726002506 LA Practitioner - Physician Assistant 9133412364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic and Interventional Spinal Care of LouisianaGroup PAC ID 0244460293, 10 clinicians

Practice addresses (Care Compare)

19184 Dr John Lambert Dr
Suite 103
Hammond, LA 70403-0936
Phone (985) 892-8934

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 400-5778

76 Starbrush Circle
Covington, LA 70433-7208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
302860LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Ochsner Clinic LLC PastSince Nov 21, 2021 Accepting new patients
Ochsner Clinic LLC PastSince Nov 21, 2021 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: gsimoneaux@disc-of-louisiana.direct.kno2fy.com

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 11

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1457715930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-400-5778",
            "fax_number": "985-888-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-400-5778",
            "fax_number": "985-888-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15828 Professional Plz",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031453",
            "country_code": "US",
            "telephone_number": "985-400-5778",
            "fax_number": "985-888-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONEAUX",
        "first_name": "GARRETT",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "302860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.