Individual provider Active NPI

Karin Marie Covi, MD

  • MOHS-Micrographic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1831200534
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
20712 Issued in TN
Practice address
2358 Lifestyle Way Ste 212
Chattanooga, TN 37421-4904
Phone
(423) 521-1100
Fax
(423) 521-1200
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 20712 TN Primary
Dermatology Physician 207N00000X MD0000020712 TN

Addresses

Primary practice location

2358 Lifestyle Way Ste 212
Chattanooga, TN 37421-4904

Mailing address

136 Battlefield Crossing CT
Ringgold, GA 30736-5176
Phone (706) 277-7311

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jychung@directaddress.net
Direct Messaging Address jychung@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000020712TNMDDermatology Physician
20712TNMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer & Cosmetic Dermatology Center, PC Dermatology CurrentSince Feb 4, 2024 Accepting new patients

Locations

1107 Memorial Dr
Ste 201
Dalton, GA 30720
Phone (706) 277-7311

136 Battlefield Crossing Ct
#C
Ringgold, GA 30736

136 Battlefield Crossing Ct
Ringgold, GA 30736

2253 Chambliss Ave NW
Ste 300
Cleveland, TN 37311
Phone (423) 472-3332

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1831200534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BATTLEFIELD CROSSING CT",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365176",
            "telephone_number": "706-277-7311",
            "fax_number": "706-529-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214904",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVI",
        "first_name": "KARIN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "20712",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000020712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "N",
            "address_1": "1107 Memorial Dr Ste 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307208662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "N",
            "address_1": "2358 Lifestyle Way Ste 212",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374214904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.