NPIMap

Organization Active NPI

Covenant Pediatrics, LLC

  • Health Service Clinic/Center
  • Jefferson City, MO
National Provider Identifier
1942911607
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COVENANT PEDIATRICS, LLC
Practice address
2409 Hyde Park Rd
Jefferson City, MO 65109-4732
Phone
(573) 635-6217
Fax
(573) 635-6574
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Sonia McGowin, DCNPI 1245535921
Title
Chiropractor / Owner
Phone
(573) 635-6217

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2409 Hyde Park Rd
Jefferson City, MO 65109-4732

Mailing address

2409 Hyde Park Rd
Jefferson City, MO 65109-4732
Phone (573) 635-6217

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsonia@covenantwellness.net

National Provider Directory

National Provider Directory

Locations

2409 Hyde Park Rd
Jefferson City, MO 65109
Phone (573) 635-6217

Practitioners & affiliated clinicians

Practitioners 5

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1942911607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 HYDE PARK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094732",
            "telephone_number": "573-635-6217",
            "fax_number": "573-635-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 HYDE PARK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094732",
            "telephone_number": "573-635-6217",
            "fax_number": "573-635-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MCGOWIN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "573-635-6217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsonia@covenantwellness.net",
            "affiliation": "N",
            "address_1": "2409 Hyde Park Rd",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651094732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.