NPIMap

Individual provider Active NPI

Samuel Clayton Covington, M.D.

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1063694461
Registry record updated Apr 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12655 Issued in SC
Practice address
1796 Chelwood Cir
Charleston, SC 29407-3702
Phone
(843) 412-0032
NPI assigned
Nov 28, 2007
Last updated
Apr 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12655 SC Primary
General Practice Physician 208D00000X 12655 SC

Addresses

Primary practice location

1796 Chelwood Cir
Charleston, SC 29407-3702

Mailing address

1796 Chelwood Cir
Charleston, SC 29407-3702
Phone (843) 412-0032

Other identifiers 1

IdentifierTypeStateIssuer
126553MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, KY, AK4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080311000754 SC Practitioner - Emergency Medicine 8022193267
I20120813000325 TX Practitioner - Emergency Medicine 8022193267 Reassigns benefits to 1 organization
I20130812000794 KY Practitioner - Emergency Medicine 8022193267 Reassigns benefits to 2 organizations
I20200508002336 AK Practitioner - Emergency Medicine 8022193267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12655SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Mar 1, 2020 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Russell County Hospital CurrentSince Jun 12, 2013 Accepting new patients
Norton Sound Health Corporation CurrentSince Mar 1, 2020 Accepting new patients
Russell County Hospital Current Accepting new patients
Russell County Hospital CurrentSince Jun 12, 2013 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Jun 20, 2012 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 20, 2012 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Alpha Care Allergy, Asthma & Immunology Past Accepting new patients
SC Healthcare Investments, LLC Past Accepting new patients
Willturn PC PastSince Jun 9, 2000 Accepting new patients
Alpha Medical & Spinal Care, LLC PastSince Mar 1, 2001 Accepting new patients

Locations

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Interoperability endpoints

  • Direct secure messaging: scovington@direct.nshcorp.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271548800000",
    "number": "1063694461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 CHELWOOD CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073702",
            "telephone_number": "843-412-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 CHELWOOD CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073702",
            "telephone_number": "843-412-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "SAMUEL",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2010-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "12655",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "12655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126553",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.