Active NPI
Derek Brady Covington, M.D.
- Anesthesiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME123807
- Practice address
- 1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-0371 - Phone
- (352) 265-0301
- NPI assigned
- May 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | ME123807 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-0371
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017818800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Nevada School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810
Hospital & facility affiliations
- Watauga Medical Center
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135363 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1649562091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"address_2": "BOX 100371",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100371",
"telephone_number": "352-265-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "DEREK",
"middle_name": "BRADY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME123807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017818800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.