Individual provider Active NPI

Philip Whit Covington, FNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1720139215
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201735 Issued in NC
Practice address
2210 Hemby Lane
Suite 105
Greenville, NC 27834-2801
Phone
(252) 752-7133
Fax
(252) 752-6120
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201735 NC Primary

Addresses

Primary practice location

2210 Hemby Lane
Suite 105
Greenville, NC 27834-2801

Mailing address

800 Moye Blvd.
Ste. a
Greenville, NC 27834

Other identifiers 1

IdentifierTypeStateIssuer
8958755MedicaidNC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000707 NC Practitioner - Nurse Practitioner 8325005689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201735NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Family Doctors PA Current Accepting new patients
Greenville Family Doctors, PA CurrentSince Jan 2, 2005 Accepting new patients

Locations

2210 Hemby Ln
Ste 105
Greenville, NC 27834
Phone (252) 752-7133

800 Moye Blvd
Ste A
Greenville, NC 27834
Phone (252) 752-7133

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10015441

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.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1720139215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOYE BLVD.",
            "address_2": "STE. A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HEMBY LANE",
            "address_2": "SUITE 105",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342801",
            "telephone_number": "252-752-7133",
            "fax_number": "252-752-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "PHILIP",
        "middle_name": "WHIT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.