IndividualActive
Mack Groves, DPM
NPI 1265460877 · Primary Podiatric Medicine Podiatrist · Covington, LA
Provider details
- NPI number
- 1265460877
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- PD190R (LA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
323 S Tyler St
Covington, LA 70433-3037
Phone: (985) 867-9605
Fax: (985) 867-9001
Approximate (ZIP-level) locationGet directions
Mailing address
323 S Street
Covington, LA 70433-2352
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.