Active NPI
Marcus L. Pittman III, M.D.
- Family Medicine Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 014891
- Practice address
- 307 S Jefferson Ave
Covington, LA 70433-3135 - Phone
- (985) 892-3661
- Fax
- (985) 892-3372
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 014891 | LA | |
| General Practice Physician | 208D00000X | 014891 | LA | |
| Family Medicine Physician | 207Q00000X | 014891 | LA | Primary |
Addresses
Primary practice location
307 S Jefferson Ave
Covington, LA 70433-3135
Mailing address
307 S Jefferson Ave
Covington, LA 70433-3135
Phone (985) 892-3661
Other practice location 1
2807 S Columbia St
Bogalusa, LA 70427-7915
Phone (985) 307-1600
Other names 1
- Dr. Marc Pittman III
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110920000737 | LA | Practitioner - Family Practice | 0042481277 | Practice locations: Covington, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
307 S Jefferson Ave
Covington, LA 70433-3135
Phone (985) 892-3661
Hospital & facility affiliations
- St Tammany Parish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014891 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Pittman, III, MD, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Mandeville, LA
- NPI 1861739153
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1609924919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S JEFFERSON AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333135",
"telephone_number": "985-892-3661",
"fax_number": "985-892-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S JEFFERSON AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333135",
"telephone_number": "985-892-3661",
"fax_number": "985-892-3372"
}
],
"practiceLocations": [
{
"address_1": "2807 S Columbia St",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704277915",
"country_code": "US",
"telephone_number": "985-307-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITTMAN",
"first_name": "MARCUS",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "014891",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "014891",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "014891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARC",
"last_name": "PITTMAN",
"prefix": "DR.",
"suffix": "III",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.