Individual provider Active NPI

Georgi A Kovachev, MD

  • Nephrology Physician
  • Slidell, LA
National Provider Identifier
1942458823
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.304447 Issued in LA
Practice address
664 Robert Blvd
Slidell, LA 70458-1648
Phone
(985) 646-0360
Fax
(985) 646-0362
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.304447 LA Primary

Addresses

Primary practice location

664 Robert Blvd
Slidell, LA 70458-1648

Mailing address

PO Box 3370
Covington, LA 70434-3370
Phone (985) 867-8585

Other identifiers 1

IdentifierTypeStateIssuer
2435256MedicaidLA

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
I20170124000285 LA Practitioner - Nephrology 6103977558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northlake Nephrology, IncGroup PAC ID 9931000213, 3 clinicians

Practice addresses (Care Compare)

1970 N Hwy 190
Northlake Nephrology Institute
Covington, LA 70433-5158
Phone (985) 867-8585

664 Robert Blvd
Slidell, LA 70458-1648
Phone (985) 646-0360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.304447LAMDNephrology Physician
003327NYMDAudiologist-Hearing Aid Fitter

Interoperability endpoints

  • Direct secure messaging: georgikovachev@nni.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1942458823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3370",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704343370",
            "telephone_number": "985-867-8585",
            "fax_number": "985-867-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581648",
            "telephone_number": "985-646-0360",
            "fax_number": "985-646-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACHEV",
        "first_name": "GEORGI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.304447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2435256",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.