John Mark Covington Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009916 Issued in GA

Practice address

2230 Towne Lake Parkway
BLDG 1300, Ste 100
Woodstock, GA 30189

Phone

(678) 445-5444

Fax

(678) 445-5552

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Children'S Dental Center, PC

  • Pediatric Dentistry
  • Cartersville, GA
  • NPI 1215005376
  NPD (past)
• Children'S Dental Center, PC

  • Pediatric Dentistry
  • Rome, GA
  • NPI 1427428085

  General Practice

  NPD (past)
• Children'S Dental Ctr at Brookstone

  • Pediatric Dentistry
  • Acworth, GA
  • NPI 1013117878
  NPD (past)
• Childrens Dentistry of Woodstock

  • Pediatric Dentistry
  • Woodstock, GA
  • NPI 1902965932
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1770683948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING STREET",
            "address_2": "6TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "301442870",
            "telephone_number": "404-389-1950",
            "fax_number": "678-444-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PARKWAY",
            "address_2": "BLDG 1300, STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "678-445-5444",
            "fax_number": "678-445-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Rhana Liberty Coultas, OT
• Charles Oakley Coulter, DDS
• Katie Bodycomb Covington, PA
• Hellana Cox, MSMFT
• Jerry Wayne Cox
• Tanaluk Pratheepratana Cox
• CP Specialized Services LLC

• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.