Individual provider Active NPI

Jason Faucheux, D.O.

  • Family Medicine Physician
  • Mandeville, LA
National Provider Identifier
1952840522
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
339491 Issued in LA
Practice address
1170 Meadowbrook Blvd
Mandeville, LA 70471-7400
Phone
(985) 800-2366
Fax
(945) 529-4675
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 339491 LA Primary

Addresses

Primary practice location

1170 Meadowbrook Blvd
Mandeville, LA 70471-7400

Mailing address

1170 Meadowbrook Blvd
Mandeville, LA 70471-7400
Phone (985) 800-2366

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
I20250319000221 LA Practitioner - Osteopathic Manipulative Medicine 4981033511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15690FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avala Physician Network, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

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

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1952840522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MEADOWBROOK BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717400",
            "telephone_number": "985-800-2366",
            "fax_number": "945-529-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MEADOWBROOK BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717400",
            "telephone_number": "985-800-2366",
            "fax_number": "945-529-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHEUX",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "339491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.