Organization Active NPI

Cove Direct Primary Care, LLC

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1215793591
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COVE DIRECT PRIMARY CARE, LLC
Doing business as
Cove DPC
Practice address
1427 Washington St Ste B
Columbus, IN 47201-5725
Phone
(812) 227-6024
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Mr. William Graham Pumphrey, FNP-CNPI 1356707020
Title
Owner
Phone
(812) 227-6024

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1427 Washington St Ste B
Columbus, IN 47201-5725

Mailing address

1427 Washington St Ste B
Columbus, IN 47201-5725
Phone (812) 227-6024

Other names 1

  • Cove DPC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2310690Cove Direct Primary Care, LLC1427 Washington St Ste B, Columbus, IN 47201Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

1427 Washington St
#B
Columbus, IN 47201
Phone (812) 227-6024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1215793591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 WASHINGTON ST STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015725",
            "telephone_number": "812-227-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 WASHINGTON ST STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015725",
            "telephone_number": "812-227-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVE DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-227-6024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cove DPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.