NPIMap

Organization Active NPI

Covenant Pulmonary Critical Care Inc

  • Medical Specialty Clinic/Center
  • East Point, GA
National Provider Identifier
1447616255
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
65598 Issued in GA
Legal business name
COVENANT PULMONARY CRITICAL CARE INC
Practice address
1136 Cleveland Ave
Suite 615
East Point, GA 30344-3618
Phone
(404) 254-5388
Fax
(404) 565-1255
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Ngozika A Orjioke, MDNPI 1275754731
Title
Medical Director
Phone
(770) 990-8212

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
Medical Specialty Clinic/Center 261QM2500X 65598 GA Primary

Addresses

Primary practice location

1136 Cleveland Ave
Suite 615
East Point, GA 30344-3618

Mailing address

1136 Cleveland Ave
Suite 615
East Point, GA 30344-3618
Phone (404) 254-5388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160706001984 GA Part B Supplier - Clinic/Group Practice 4486946753 Receives reassigned benefits from 3 practitioners
Practice locations: East Point, GA; Loganville, GA
O20250821001262 GA DME Supplier - Physician - Pulmonary Disease 4486946753 Practice locations: East Point, GA

National Provider Directory

National Provider Directory

Locations

2758 Felton Dr
East Point, GA 30344
Phone (404) 254-5388

1136 Cleveland Ave
Ste 615
East Point, GA 30344
Phone (404) 254-5388

Practitioners & affiliated clinicians

Practitioners 3

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1447616255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 615",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-254-5388",
            "fax_number": "404-565-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 615",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-254-5388",
            "fax_number": "404-565-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PULMONARY CRITICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "ORJIOKE",
        "authorized_official_first_name": "NGOZIKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-990-8212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "65598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.