Covenant Medical Group, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COVENANT MEDICAL GROUP, INC

Practice address

629 Middle Creek Rd
Sevierville, TN 37862-5014

Phone

(865) 774-4440

Fax

(865) 774-4868

NPI assigned

Oct 19, 2010

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie G Utterback

Title

VP Financial Services

Phone

(865) 374-5119

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1073823407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTERPOINT BLVD",
            "address_2": "BLDG A, STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321979",
            "telephone_number": "865-374-5121",
            "fax_number": "865-374-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625014",
            "telephone_number": "865-774-4440",
            "fax_number": "865-774-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES",
        "authorized_official_telephone_number": "865-374-5119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "27646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734041",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Coppenger, NP
• Cathy Cecile Cordial, LPN
• Ashley Dawn Cornette, FNP-C
• Julianna Elaine Corrado, M.A.
• Katy Coursey, D.O.
• Adam Cox, DPT
• Diana B Cox
• Rebecca Ann Cox, M.A.-CCC-SLP
• Victoria Cox
• Shawn C. Crabtree, FNP

• Durable Medical Equipment & Medical Supplies in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.