Organization Active NPI

Covenant Multispecialty Group

  • Pediatrics Physician
  • Martinez, GA
National Provider Identifier
1942376918
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COVENANT MULTISPECIALTY GROUP
Practice address
4106 Columbia Rd
Suite 103
Martinez, GA 30907-1450
Phone
(706) 863-1440
Fax
(706) 863-5418
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Alan Grant Getts, M.D.
Title
Owner
Phone
(706) 868-3251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X

Addresses

Primary practice location

4106 Columbia Rd
Suite 103
Martinez, GA 30907-1450

Mailing address

4106 Columbia Rd
Suite 103
Martinez, GA 30907-1450
Phone (706) 863-1440

Other identifiers 1

IdentifierTypeStateIssuer
847566681CMedicaidGA

Other names 1

  • Covenant Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2315 Central Ave
Ste A
Augusta, GA 30904
Phone (706) 737-0303

229 Addison Sq
Evans, GA 30809
Phone (706) 364-6045

5135 Wrightsboro Rd
Ste B
Grovetown, GA 30813
Phone (706) 854-2500

5135 Wrightsboro Rd
#B
Grovetown, GA 30813

304 N Main St
Ste 101
Wrens, GA 30833

10806 Monroe Rd
#A
Matthews, NC 28105
Phone (704) 321-5700

10808 Monroe Rd
Matthews, NC 28105
Phone (704) 705-4744

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

10806 Monroe Rd
Matthews, NC 28105
Phone (617) 726-2947

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1942376918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 COLUMBIA RD",
            "address_2": "SUITE 103",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071450",
            "telephone_number": "706-863-1440",
            "fax_number": "706-863-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 COLUMBIA RD",
            "address_2": "SUITE 103",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071450",
            "telephone_number": "706-863-1440",
            "fax_number": "706-863-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MULTISPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GETTS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-868-3251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847566681C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.