Organization Active NPI

The Covington Clinic. PC

  • Legal Medicine
  • Covington, TN
National Provider Identifier
1518994409
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
APN6976 Issued in TN
Legal business name
THE COVINGTON CLINIC. PC
Practice address
1111 Highway 51 S
Covington, TN 38019-3236
Phone
(901) 476-1313
Fax
(901) 476-1314
NPI assigned
Jun 27, 2006
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Brenda Springfield, FNPNPI 1861498776
Title
Medical Director
Phone
(901) 476-1313

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
Legal Medicine 173000000X APN6976 TN Primary

Addresses

Primary practice location

1111 Highway 51 S
Covington, TN 38019-3236

Mailing address

PO Box 1798 Dept 07-49
Memphis, TN 38101-1798
Phone (901) 476-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000239 TN Part B Supplier - Clinic/Group Practice 2860412830 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1041600Covington Clinic PC1111 Highway 51 South, Covington, TN 38019Provider-performed microscopyJun 6, 2027

National Provider Directory

National Provider Directory

Locations

1111 Highway 51 S
Covington, TN 38019
Phone (901) 476-1313

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23792/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1518994409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798 DEPT 07-49",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011798",
            "telephone_number": "901-476-1313",
            "fax_number": "901-476-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193236",
            "telephone_number": "901-476-1313",
            "fax_number": "901-476-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVINGTON CLINIC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SPRINGFIELD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-476-1313",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "APN6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.

Verify at the official NPI Registry.