Covington Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-049268 Issued in AL

Legal business name

COVINGTON HEALTHCARE LLC

Practice address

1608-A Gilmer Ave
Tallassee, AL 36078-2314

Phone

(334) 782-5028

Fax

(334) 782-5028

NPI assigned

Sep 12, 2014

Last updated

Nov 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Gwinn

Title

Business Consultant

Phone

(334) 303-5892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1881095560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608-A GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782314",
            "telephone_number": "334-782-5028",
            "fax_number": "334-782-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608-A GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782314",
            "telephone_number": "334-782-5028",
            "fax_number": "334-782-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "334-303-5892"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-049268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "1-049268",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Hospital Inc (New Day Senior Health)
• Community Hospital Inc (Community Medical Arts Center)
• Community Hospital, Inc
• Community Medical Arts Center
• Michael A Courtney, M.D.
• Sarah A Covington, CRNP
• Justin B Crain, RPT
• Brandi Criswell
• Nicole G Davis, NP
• Lara Dennis, RN, IBCLC

• Family Nurse Practitioner in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.