Covington Medical Associates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COVINGTON MEDICAL ASSOCIATES, P.C.

Practice address

115 Medical Park Dr
Andalusia, AL 36420-5323

Phone

(334) 222-3640

Fax

(334) 222-3660

NPI assigned

Jul 13, 2006

Last updated

Oct 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Free, CPC

Title

Insurance

Phone

(334) 222-3640

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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.

• Jill Cason Elmore, CNRP

  • Family Nurse Practitioner
  • Andalusia, AL
  • NPI 1285841270
  NPD (past)
• Dana Sabrina Mills, CRNP

  • Family Nurse Practitioner
  • Andalusia, AL
  • NPI 1912100330
  NPD (past)
• Samuel A Gacha, M.D.

  • Hospitalist Physician
  • Spartanburg, SC
  • NPI 1053316281

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1629093240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1608",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201227",
            "telephone_number": "334-222-3640",
            "fax_number": "334-222-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL PARK DR",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205323",
            "telephone_number": "334-222-3640",
            "fax_number": "334-222-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "334-222-3640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936876",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936874",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covington County Health Dept-Andalusia Prev Health Ed
• Covington County Health Dept-Andalusia Pri Care
• Covington County Health Dept-Andalusia VFC Immun
• Covington Gynecology, P.C.
• Covington Imaging Center
• Covington Pediatrics PA
• Covington Pediatrics PA
• Covington Spine Center, Inc.
• Covington Womens Healthcare LLC
• Lindsey Crutchfield

• Internal Medicine Physician in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.