Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care (La) PC

Organization Family Medicine Physician · NPI 1326620626

Centerwell Senior Primary Care (La) PC is a Family Medicine Physician in Covington, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

66 Park Place Dr
Covington, LA 70433-5183
Phone: (985) 875-5459
Fax: (877) 872-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1326620626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Covington; Centerwell Senior Primary Care-Covington
NPI enumeratedApril 26, 2021
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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