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COVENANT MEDICAL GROUP INC. NPI 1457302010


NPI Information

NPI: 1457302010
Provider Name: COVENANT MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1400 CENTERPOINT BLVD
BLDG A, SUITE 202
KNOXVILLE, TN
ZIP 37932
Phone: (865) 374-5200
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COVENANT MEDICAL GROUP, INC. is a family medicine in Knoxville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COVENANT MEDICAL GROUP, INC. NPI is 1457302010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 CENTERPOINT BLVD
BLDG A, SUITE 202
KNOXVILLE, TN
ZIP 37932-146
Phone: (865) 374-5200
Fax: (865) 374-5201

The provider's authorized official is Julie G Utterback .
The authorized official title is Vp Financial Services and has the following contact phone number (865) 374-5119.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 12/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
5207RI0011XInternal MedicineInterventional CardiologyNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207RS0012XInternal MedicineSleep MedicineNo
8207T00000XNeurological SurgeryNo
9207X00000XOrthopaedic SurgeryNo
10208100000XPhysical Medicine & RehabilitationNo
112084N0400XPsychiatry & NeurologyNeurologyNo
12208600000XSurgeryNo
13208800000XUrologyNo
14208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
15363A00000XPhysician AssistantNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13734041MEDICAIDTENNESSEE
26516130002MEDICARE PINTENNESSEE
36516130003MEDICARE PINTENNESSEE
43734041MEDICARE PINTENNESSEE
56516130001MEDICARE PINTENNESSEE
66516130004MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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