Covenant Medical & Population Health Informatics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COVENANT MEDICAL & POPULATION HEALTH INFORMATICS

Practice address

483 Upper Riverdale Rd SW Ste K
Riverdale, GA 30274-2584

Phone

(404) 509-0606

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Eunice Yakubu, MD, PHDNPI 1992590293

Title

Ceo/Founder

Phone

(404) 509-0606

Specialties & licenses 3

Addresses

Other names 1

• Covenant Medical & Population Health Informatics Doing business as

Locations

Practitioners 1

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

• Eunice Yakubu, MD

  • Student in an Organized Health Care Education/Training Program
  • Valdosta, GA
  • NPI 1992590293
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1235955279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CARLTON POINTE PL",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682356",
            "telephone_number": "404-509-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE K",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742584",
            "telephone_number": "404-509-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL & POPULATION HEALTH INFORMATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "YAKUBU",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "404-509-0606",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Medical & Population Health Informatics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaleesa Copeland
• Eureka Faye Peek Corbin, RBT
• Cornerstone Health Services, Inc-
• Mark Edward Couch, FNP-C
• Counseling Pros LLC
• Michelle S Cox
• Crescent Healthcare Systems, Inc
• Crystal Crittendon, IBCLC
• Kimberly Williams Crom, WHNP
• Shibana Elder Cutter, MSN, APRN, FNP-BC

• Family Medicine Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.