NPIMap

Organization Active NPI

Covenant Pediatrics PA

  • Pediatrics Physician
  • Matthews, NC
National Provider Identifier
1932521630
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200301456 Issued in NC
Legal business name
COVENANT PEDIATRICS PA
Practice address
101 E Matthews St
Suite 800
Matthews, NC 28105-4866
Phone
(704) 321-5700
Fax
(704) 321-5701
NPI assigned
Jan 14, 2014
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Anthonia Ogechi Emezie, M.D.NPI 1538180690
Title
President
Phone
(704) 321-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 200301456 NC
Pediatrics Physician 208000000X 200301456 NC Primary

Addresses

Primary practice location

101 E Matthews St
Suite 800
Matthews, NC 28105-4866

Mailing address

101 E Matthews St
Suite 800
Matthews, NC 28105-4866
Phone (704) 321-5700

Other names 1

  • SHILOH MEDICALS Former legal business name

National Provider Directory

National Provider Directory

Locations

101 E Matthews St
Ste 800
Matthews, NC 28105
Phone (704) 321-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8509/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1932521630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 800",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-321-5700",
            "fax_number": "704-321-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 800",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-321-5700",
            "fax_number": "704-321-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "EMEZIE",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_middle_name": "OGECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-321-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "200301456",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200301456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHILOH MEDICALS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.