COVENANT CLINIC, P. A. (NPI# 1407977804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407977804 |
| Entity Type | Organization |
| Organization Name | COVENANT CLINIC, P. A. |
| Practice Address |
7953 Villanow Dr Sanford NC 27332-7595 |
| Mailing Address |
Po Box 2427 Sanford NC 27331-2427 |
| Practice Telephone | 9197744163 |
| Mailing Telephone | 9197744163 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | DR. THELLIE RUPERT AINSLEY JR. (PRESIDENT) |
| Authorized Official Telephone | 9197744163 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25545 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PALMETTO GBA RAILROAD MEDICARE | DN4531 | 01 |
| NC | 5950617 | 05 |
| Street Address |
7953 VILLANOW DR |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1326439142 | Ashwinkumar R Patel | Internal Medicine | 1403 Medical Plaza Drive, Suite 106, Sanford, FL 32771-1085 | 2015-02-16 |
| 1629357793 | Tricounty Medical Association,llc | Internal Medicine | 5150 Majestic Woods Pl, Sanford, FL 32771-5400 | 2011-08-08 |
| 1427340959 | Zainab Jehanzeb Qureshi | Internal Medicine | Central Florida Regional Hospital, 1401 W Seminole Blvd, Sanford, FL 32771 | 2011-05-02 |
| 1891979605 | Surinder Dhawan | Internal Medicine | 1024 S. Horner Boulevard, Sanford, NC 27330-4151 | 2007-12-28 |
| 1104018779 | Carolina Internal Medicine of Sanford Pa | Internal Medicine | 4546 Hwy 87 South, Sanford, NC 27332-0212 | 2007-08-16 |
| 1689898041 | Sanford Care Internal Medicine, P.C. | Internal Medicine | 109 S Vance St, Sanford, NC 27330-4372 | 2007-04-13 |
| 1255489993 | Prashant Jani | Internal Medicine | 1403 Medical Plaza Dr Ste 106, Sanford, FL 32771-1085 | 2007-01-08 |
| 1467524264 | Michael Richard Lincourt | Internal Medicine | 27 June Street, Sanford, ME 04073 | 2006-11-15 |
| 1023114261 | Chamain Dorothy Austin | Internal Medicine | 4546 Nc 87 S, Sanford, NC 27332-0212 | 2006-09-15 |
| Find all providers in SANFORD | ||||
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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.