NPIMap

Organization Active NPI

Covert Clinic, P.a.

  • Primary Care Clinic/Center
  • Ashdown, AR
National Provider Identifier
1982841144
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
E-0730 Issued in AR
Legal business name
COVERT CLINIC, P.A.
Practice address
122 Southern Dr
Ashdown, AR 71822-8668
Phone
(870) 898-6940
Fax
(870) 898-4191
NPI assigned
Jan 9, 2009
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
George K Covert, MDNPI 1922090836
Title
Sole Owner
Phone
(870) 898-6940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X E-0730 AR Primary
Rural Health Clinic/Center 261QR1300X E-0730 AR

Addresses

Primary practice location

122 Southern Dr
Ashdown, AR 71822-8668

Mailing address

PO Box 481
Ashdown, AR 71822-0481
Phone (870) 898-6940

Other identifiers 7

IdentifierTypeStateIssuer
176100002MedicaidAR
608703900OtherDEPART OF LABOR
203282301MedicaidTX
1639100001OtherQUALCHOICE
5J865OtherBLUE CROSS
770262101OtherMEDICAID BREASTCARE
P00056552OtherRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1982841144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718220481",
            "telephone_number": "870-898-6940",
            "fax_number": "870-898-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SOUTHERN DR",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718228668",
            "telephone_number": "870-898-6940",
            "fax_number": "870-898-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "870-898-6940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "E-0730",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "E-0730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176100002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPART OF LABOR",
            "identifier": "608703900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203282301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "1639100001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5J865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BREASTCARE",
            "identifier": "770262101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00056552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashdown, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.