Individual provider Active NPI

Christine Covaci, FNP-C

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1740906114
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN262631 Issued in GA
Practice address
1718 Peachtree St NW Ste 360
Atlanta, GA 30309-7038
Phone
(404) 350-9505
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN262631 GA Primary

Addresses

Primary practice location

1718 Peachtree St NW Ste 360
Atlanta, GA 30309-7038

Mailing address

1718 Peachtree St NW Ste 360
Atlanta, GA 30309-7038
Phone (404) 350-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221104002570 GA Practitioner - Nurse Practitioner 4688041544 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Medical Clinic L L C CurrentSince Aug 1, 2023 Accepting new patients
Georgia Vascular Specialists PC Current Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Oct 28, 2022 Accepting new patients

Locations

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

197 14th St NW
Ste 300
Atlanta, GA 30318
Phone (404) 872-8837

868 Buford Rd
Cumming, GA 30041
Phone (678) 284-2006

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

720 Old Snellville Hwy
Ste 150
Lawrenceville, GA 30044
Phone (678) 225-5553

Organizations & group practices 3

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1740906114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097038",
            "telephone_number": "404-350-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097038",
            "telephone_number": "404-350-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVACI",
        "first_name": "CHRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN262631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.