MICHELLE ANGIE COVALT MD NPI 1902024797

NPI Information

  • NPI: 1902024797
  • Provider Name: MICHELLE ANGIE COVALT, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3650 STEVE REYNOLDS BLVD
    KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER
    DULUTH, GA
    ZIP 30096
  • Phone: (770) 496-3419

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NPI Details

Michelle Angie Covalt, MD is an obstetrics gynecology in Duluth, GA with 19 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Michelle Angie Covalt, MD NPI is 1902024797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2006

The provider's business location address is:

3650 STEVE REYNOLDS BLVD
KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA
ZIP 30096-506
Phone: (770) 496-3419
Fax: (719) 380-8087

The NPI 1902024797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 1/10/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology49001COLORADONo
2207V00000XObstetrics & Gynecology076803GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
160839279MEDICAIDCOLORADO

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: 3/30/2025

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