Active NPI
Nga Endoscopy Center LLC
- Endoscopy Clinic/Center
- Covington, LA
National Provider Identifier
1780153874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- NGA ENDOSCOPY CENTER LLC
- Practice address
- 7015 Highway 190 East Service Rd Ste 103
Covington, LA 70433-4960 - Phone
- (985) 273-3915
- Fax
- (985) 273-3919
- NPI assigned
- Nov 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy R Jacobs, RN, CGRN
- Title
- Clinical Director/Administrator
- Phone
- (985) 273-3915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
7015 Highway 190 East Service Rd Ste 103
Covington, LA 70433-4960
Mailing address
7015 Highway 190 East Service Rd Ste 103
Covington, LA 70433-4960
Phone (985) 273-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191011000189 | LA | Part B Supplier - Ambulatory Surgical Center | 7618208349 | Practice locations: Covington, LA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Nga Endoscopy Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15814 Professional Plz
Hammond, LA 70403
Phone (985) 956-7216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Covington, LA
- NPI 1841295953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643328000000",
"number": "1780153874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 HIGHWAY 190 EAST SERVICE RD STE 103",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334960",
"telephone_number": "985-273-3915",
"fax_number": "985-273-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 HIGHWAY 190 EAST SERVICE RD STE 103",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334960",
"telephone_number": "985-273-3915",
"fax_number": "985-273-3919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGA ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-19",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/ADMINISTRATOR",
"authorized_official_telephone_number": "985-273-3915",
"authorized_official_credential": "RN, CGRN"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.