Individual provider Active NPI

Gregory Jacob Jr., MD

  • Pulmonary Disease Physician
  • Covington, LA
National Provider Identifier
1629430269
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
307297 Issued in LA
Practice address
728 W 11TH Ave
Covington, LA 70433-2318
Phone
(985) 892-3766
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 307297 LA Primary

Addresses

Primary practice location

728 W 11TH Ave
Covington, LA 70433-2318

Mailing address

PO Box 669379
Dallas, TX 75266-9379
Phone (985) 892-3766

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
I20180801001794 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6608165956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, shared by 6 NPIs, 162 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

1203 S Tyler St
200 Northlake Pulmonary Assoc at S
Covington, LA 70433-2353
Phone (985) 892-9143

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307297LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince May 1, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Nov 9, 2022 Accepting new patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Nov 3, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 3, 2022 Accepting new patients

Locations

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

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

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

1203 S Tyler St
Ste 200
Covington, LA 70433
Phone (985) 892-9143

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

1514 Jefferson Hwy
New Orleans, LA 70121

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

Interoperability endpoints

  • Direct secure messaging: gjacob914700@direct.ochsner.org

Organizations & group practices 7

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 10

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1629430269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669379",
            "telephone_number": "985-892-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332318",
            "telephone_number": "985-892-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "307297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.