Individual provider Active NPI

Candace Yvonne Covington, M.D.

  • Surgery Physician
  • Mineral Wells, TX
National Provider Identifier
1295964757
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N3581 Issued in TX
Practice address
202 SW 25TH Ave
Suite 600
Mineral Wells, TX 76067-8242
Phone
(940) 325-4925
Fax
(940) 325-4955
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP20033615 TX
Surgery Physician 208600000X N3581 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave
Suite 600
Mineral Wells, TX 76067-8242

Mailing address

202 SW 25TH Ave
Suite 600
Mineral Wells, TX 76067-8242
Phone (940) 325-4925

Other names 1

  • Dr. Candace Yvonne Williams-Covington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000608 TX Practitioner - General Surgery 5799816948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Denver TRL
Azle, TX 76020-3614
Phone (817) 444-8700

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP20033615TXMDSurgery Physician
N3581TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candace Y Covington MD Surgery CurrentSince Nov 17, 2012 Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients

Locations

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

202 SW 25th Ave
Ste 600
Mineral Wells, TX 76067
Phone (940) 217-5969

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1295964757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE",
            "address_2": "SUITE 600",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678242",
            "telephone_number": "940-325-4925",
            "fax_number": "940-325-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE",
            "address_2": "SUITE 600",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678242",
            "telephone_number": "940-325-4925",
            "fax_number": "940-325-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "CANDACE",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP20033615",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "WILLIAMS-COVINGTON",
            "middle_name": "YVONNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.