Active NPI
Covenant Spine and Neurology, PLLC
- Neurological Surgery Physician
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- COVENANT SPINE AND NEUROLOGY, PLLC
- Practice address
- 280 Broad St Ste a
Kernersville, NC 27284-2948 - Phone
- (336) 716-4020
- Fax
- (336) 761-4051
- NPI assigned
- Aug 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Beers
- Title
- Practice Administrator
- Phone
- (336) 761-4020
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Neurology Physician | 2084N0400X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
280 Broad St Ste a
Kernersville, NC 27284-2948
Mailing address
280 Broad St Ste a
Kernersville, NC 27284-2948
Phone (336) 761-4020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2283169 | Covenant Spine and Neurology, PLLC | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
280 Broad St
Ste A
Kernersville, NC 27284
Phone (336) 277-6430
219 Moore Rd
King, NC 27021
Phone (336) 760-3007
3333 Brookview Hills Blvd
Ste 102
Winston Salem, NC 27103
Phone (336) 760-1448
3333 Brookview Hills Blvd
#10
Winston Salem, NC 27103
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Raleigh, NC
- NPI 1659548899
-
- Neurological Surgery Physician
- Kernersville, NC
- NPI 1134397714
-
- Physician Assistant
- Winston Salem, NC
- NPI 1952350415
-
- Neurology Physician
- Winston-Salem, NC
- NPI 1811948136
-
- Physician Assistant
- Winston Salem, NC
- NPI 1629074323
-
- Physician Assistant
- Winston Salem, NC
- NPI 1134502289
-
- Physician Assistant
- Kernersville, NC
- NPI 1790116283
-
- Physician Assistant
- Winston Salem, NC
- NPI 1801845722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1265150494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 BROAD ST STE A",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842948",
"telephone_number": "336-761-4020",
"fax_number": "336-761-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BROAD ST STE A",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842948",
"telephone_number": "336-716-4020",
"fax_number": "336-761-4051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT SPINE AND NEUROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "BEERS",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "336-761-4020"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.