NPIMap

Organization Active NPI

St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
National Provider Identifier
1891187654
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC
Practice address
1202 S Tyler St
Covington, LA 70433
Phone
(985) 898-4000
NPI assigned
Mar 3, 2015
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Brett McIntyre
Title
Cfo
Phone
(850) 602-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1202 S Tyler St
Covington, LA 70433

Mailing address

PO Box 721736
Norman, OK 73070-8326
Phone (405) 240-9381

Other practice location 1

2929 Highway 190
Mandeville, LA 70471
Phone (985) 898-4000

Other identifiers 2

IdentifierTypeStateIssuer
03858039MedicaidMS
2384546MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150409001843 LA Part B Supplier - Clinic/Group Practice 7214255967 Receives reassigned benefits from 226 practitioners
Practice locations: Alexandria, LA; Covington, LA; Mandeville, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 246

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1891187654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721736",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708326",
            "telephone_number": "405-240-9381",
            "fax_number": "405-341-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-898-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Highway 190",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "70471",
            "country_code": "US",
            "telephone_number": "985-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-602-0625"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03858039",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384546",
            "state": "LA"
        }
    ],
    "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.