Individual provider Active NPI

Jonte Ellison, MD

  • Obstetrics & Gynecology Physician
  • Covington, LA
National Provider Identifier
1740860824
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
347749 Issued in LA
Practice address
110 Lakeview Cir
Covington, LA 70433-7512
Phone
(985) 273-5868
Fax
(985) 273-5869
NPI assigned
Apr 12, 2021
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 347749 LA Primary

Addresses

Primary practice location

110 Lakeview Cir
Covington, LA 70433-7512

Mailing address

7811 Keats St
New Orleans, LA 70126-1419
Phone (504) 813-4274

Other practice location 1

1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-4850

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
I20251001003203 LA Practitioner - Obstetrics/Gynecology 3577963800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

7039 Hwy 190 E Service Rd
Suite C
Covington, LA 70433-4961
Phone (985) 273-5868

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 1, 2025 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Metairie Physician Services Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

7039 Highway 190 East Service Rd
Ste C
Covington, LA 70433
Phone (985) 231-6751

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

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Organizations & group practices 3

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1740860824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 KEATS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261419",
            "telephone_number": "504-813-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-273-5868",
            "fax_number": "985-273-5869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JONTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "347749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.