FAMILY PRACTICE OF COVINGTON, INC (NPI# 1770781544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770781544 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE OF COVINGTON, INC |
| Practice Address |
4235 Highway 51 South Brighton TN 38011-6921 |
| Mailing Address |
P.o. Box 507 Covington TN 38019-0507 |
| Practice Telephone | 9014754752 |
| Practice Fax Number | 9014751554 |
| Mailing Telephone | 9014754752 |
| Mailing Fax Number | 9014751554 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | MS. SOPHIA MICHELLE JOHNSON (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9014754752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD11374 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3718265 | 05 | |
| TN | BCBSTN | 4063363 | 01 |
| TN | BLUE CROSS BLUE SHIELD OF TN | 4229920 | 01 |
| TN | UNISON ADVANTAGE | 268267 | 01 |
| TN | TLC | 27017 | 01 |
| Street Address |
4235 HIGHWAY 51 SOUTH |
| City | BRIGHTON |
| State | TN |
| Zip Code | 38011-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558492306 | Jenipher E Chaney | Family Medicine | 1880 Old Hwy 51 Suite C, Brighton, TN 38011 | 2007-03-07 |
| 1376583096 | Charles L Porter | Pharmacist | 1880 Old Hwy 51, Brighton, TN 38011 | 2006-06-08 |
| 1679567390 | Brighton Family Medicine | Family Medicine | 1880 Old Hwy 51, Suite C, Brighton, TN 38011 | 2005-09-08 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| 1033212667 | John Raymond Hughey | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-09-07 |
| 1164594081 | West Clinic PC | Specialist | 240 Grandview Drive, Brighton, TN 38011-4253 | 2006-11-15 |
| 1528364874 | Kimberly Ann Rowland | Registered Nurse | 77 Fannie Dr, Brighton, TN 38011-6287 | 2011-02-03 |
| 1316485733 | Jared Vowell | Specialist/Technologist | 751 Roseland Dr, Brighton, TN 38011-6315 | 2017-02-06 |
| 1326099045 | Charles Michael Putnam | Social Worker | 74 Sanders Dr, Brighton, TN 38011-6501 | 2006-05-15 |
| 1780929349 | Michael Dalen Jaureque | Chore Provider | 159 Hilltop Cir, Brighton, TN 38011-6628 | 2012-12-06 |
| Find all providers in zip 38011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348349 | Valerie L Behrends | Family Medicine | 304 Anna St, Brighton, IL 62012-1204 | 2019-04-02 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1831326578 | Geraldine Schick | Family Medicine | 2150 Commonwealth Ave, Brighton, MA 02135 | 2009-06-21 |
| 1093975567 | Stacie Michelle Griffin | Family Medicine | 524 Byron Rd., Brighton, MI 48114 | 2008-06-09 |
| 1942468533 | Melissa Zimmerman | Family Medicine | 2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114-7005 | 2008-05-30 |
| 1437334216 | Robyn Y. Vanderford | Family Medicine | 5847 Atoka Idaville Rd, Brighton, TN 38011-7066 | 2007-12-29 |
| 1457573164 | Carlos G. Rodriguez | Family Medicine | 965 Platte River Blvd Unit O, Brighton, CO 80601-4353 | 2007-05-03 |
| 1700926953 | Susan G H Hamstra | Family Medicine | 4700 E Bromley Ln Ste 101, Brighton, CO 80601-7821 | 2007-02-07 |
| 1245385202 | Sonya J Norman | Family Medicine | 1606 Prairie Center Pkwy Ste 240, Brighton, CO 80601-4004 | 2007-01-23 |
| 1164579207 | Iha Health Services Corporation | Family Medicine | 2305 Genoa Business Drive, Suite 200, Brighton, MI 48114-9309 | 2007-01-04 |
| Find all providers in BRIGHTON | ||||
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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.