Organization Active NPI

Covington Primary Care, PLLC

  • Internal Medicine Physician
  • Munford, TN
National Provider Identifier
1104980168
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD34001 Issued in TN
Legal business name
COVINGTON PRIMARY CARE, PLLC
Practice address
534 Munford Ave
Munford, TN 38058-6828
Phone
(901) 840-3540
Fax
(901) 840-3543
NPI assigned
Dec 21, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Alvin James Miller Jr., MDNPI 1528270899
Title
Physician
Phone
(901) 840-3540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD34001 TN Primary

Addresses

Primary practice location

534 Munford Ave
Munford, TN 38058-6828

Mailing address

PO Box 7
Covington, TN 38019-0007
Phone (901) 840-3540

Other identifiers 1

IdentifierTypeStateIssuer
3847875MedicaidTN

National Provider Directory

National Provider Directory

Locations

534 Munford Ave
Munford, TN 38058
Phone (901) 840-3540

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1104980168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380190007",
            "telephone_number": "901-840-3540",
            "fax_number": "901-840-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MUNFORD AVE",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586828",
            "telephone_number": "901-840-3540",
            "fax_number": "901-840-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-840-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD34001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3847875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munford, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.