COVENANT MEDICAL GROUP, INC (NPI# 1386241859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386241859 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL GROUP, INC |
| Practice Address |
2001 Laurel Ave Ste 503 Knoxville TN 37916-1823 |
| Mailing Address |
1400 Centerpoint Blvd Ste 202 Knoxville TN 37932-2146 |
| Practice Telephone | 8653319000 |
| Practice Fax Number | 8653742010 |
| Mailing Telephone | 8653745200 |
| Mailing Fax Number | 8653745201 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | JULIE UTTERBACK (VP FINANCIAL SERVICES) |
| Authorized Official Telephone | 8653745119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312415 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 205 Corporate Pl, Alcoa, TN 37701-1940 | 2020-10-08 |
| 1730468182 | Covenant Medical Group, Inc | Specialist | 423 Medical Park Dr, Ste 100, Lenoir City, TN 37772-5640 | 2011-08-16 |
| 1073823407 | Covenant Medical Group, Inc | Specialist | 629 Middle Creek Rd, Sevierville, TN 37862-5014 | 2010-10-19 |
| 1851629828 | Covenant Medical Group, Inc | Family Medicine | 1320 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2009-12-02 |
| 1881636488 | Covenant Medical Group, Inc | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-06-11 |
| Street Address |
2001 LAUREL AVE STE 503 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1891331336 | Caremax Community Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 418 S Gay St # 104, Knoxville, TN 37902-1134 | 2019-11-19 |
| 1578125126 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4935 Millertown Pike, Knoxville, TN 37917-2115 | 2019-07-03 |
| 1104301415 | Designed By Nature, Inc | Durable Medical Equipment & Medical Supplies | 1915 White Ave Fl 2, Knoxville, TN 37916-2300 | 2018-10-02 |
| 1912482225 | Designed By Nature, Inc. | Durable Medical Equipment & Medical Supplies | 1926 Alcoa Hwy Ste 110, Knoxville, TN 37920-1559 | 2018-10-02 |
| 1427534890 | Tech Med Services LLC | Durable Medical Equipment & Medical Supplies | 6919 Neal Chase Way, Knoxville, TN 37918-5251 | 2018-07-18 |
| 1871085357 | Paramount Healthcare | Durable Medical Equipment & Medical Supplies | 6716 Central Avenue Pike, Knoxville, TN 37912-1425 | 2018-05-31 |
| 1811433030 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 311 S Concord St, Suite 311, Knoxville, TN 37919-3304 | 2017-01-11 |
| 1013467505 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3120 Mckamey Rd, Knoxville, TN 37921-4982 | 2016-10-07 |
| 1427507375 | Campbell Cunningham & Taylor, PC | Durable Medical Equipment & Medical Supplies | 4829 N Broadway St, Ste 103, Knoxville, TN 37918-2066 | 2016-10-03 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.