COVINGTON FAMILY CARE AND SPECIALTY GROUP


Address: 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823
Phone: 4042847744

COVINGTON FAMILY CARE AND SPECIALTY GROUP (NPI# 1942352778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942352778
Entity Type Organization
Organization Name COVINGTON FAMILY CARE AND SPECIALTY GROUP
Practice Address 3546 Covington Hwy
Suite C
Decatur
GA 30032-1823
Practice Telephone 4042847744
Practice Fax Number 4042848006
Mailing Telephone 4042847744
Mailing Fax Number 4042848006
Enumeration Date 2007-01-18
Last Update Date 2011-12-07
Authorized Official Name DR. TERRI YVONNE ACKER (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 4042847744
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
044791 GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA OWCP-DCMWC 610247700 01
GA 000778016C 05

Office Location

Street Address 3546 COVINGTON HWY
SUITE C
City DECATUR
State GA
Zip Code 30032-1823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073574083 Jimmy Lee Gregory Podiatrist 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 2006-03-29
1578773750 Jimmy L. Gregory Dpm, Inc Podiatrist 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 2007-05-23
1235343088 Omolara Kuteyi Md, Inc Family Medicine 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 2007-05-10
1487778957 James Washington Alexander Ophthalmology 3546 Covington Hwy, Suite A, Decatur, GA 30032-1850 2007-03-19
1396898144 Terri Morton Acker Family Medicine 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 2007-01-18
1780648568 Omolara B Kuteyi Family Medicine 3546 Covington Hwy, Ste C, Decatur, GA 30032-1823 2006-04-17

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1366878712 Teresa A Johnson Counselor 1585 Cobbs Creek Lane, Decatur, GA 30032 2013-09-17
1629213590 Curlen L Baird-scott Registered Nurse Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 2008-12-08
1659527919 Louis Aaron Calderon Psychiatry & Neurology 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 2008-08-18
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1366972523 Strawbridge Health LLC Clinic/Center 4150 Snapfinger Woods Dr Ste 100a, Decatur, GA 30035-3417 2017-06-19
1598125312 Pediatrics and Adult Medicine Inc. Clinic/Center 4153 Flat Shoals Pkwy Bld C, Suite 300b, Decatur, GA 30034-4106 2016-03-07
1194120956 Tricia Salmon Anderson Clinic/Center 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 2014-10-22
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1679814735 Power In The Pews Ministry, Inc. Clinic/Center 5026 Snapfinger Woods Dr, Ste 110, Decatur, GA 30035-4063 2013-03-13
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Competitor

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City DECATUR
Zip Code 30032

Improve Information

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Dataset Information

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.

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