Individual provider Active NPI

Tyler Jordan Covington, MD

  • Family Medicine Physician
  • Senatobia, MS
National Provider Identifier
1306330634
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29279 Issued in MS
Practice address
401 Getwell Dr
Senatobia, MS 38668-2213
Phone
(662) 612-0311
NPI assigned
Jun 20, 2018
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29279 MS Primary

Addresses

Primary practice location

401 Getwell Dr
Senatobia, MS 38668-2213

Mailing address

401 Getwell Dr
Senatobia, MS 38668-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230614002704 MS Practitioner - Family Practice 9335507995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southwest School of Medicine and Hospital, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tate County HospitalGroup PAC ID 6103282165, 35 clinicians

Practice addresses (Care Compare)

3509 Hwy 4 W
Sarah, MS 38665-3567
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tate County Hospital CurrentSince May 1, 2023 Accepting new patients
Tate County Hospital Current Accepting new patients
Tate County Hospital Family Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668
Phone (662) 562-3100

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1306330634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GETWELL DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GETWELL DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682213",
            "telephone_number": "662-612-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "TYLER",
        "middle_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "29279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

Verify at the official NPI Registry.