Covenant Pediatrics
LBN: Covenant Multispecialty Group
Covenant Pediatrics is an health care organization with primary practice located at 4106 Columbia Rd Suite 103, Martinez GA 30907-1450. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Covenant Multispecialty Group can be contacted via phone (706) 863-1440, or through Getts, Alan Grant via phone (706) 868-3251.
Contact Information
Primary practice address
4106 Columbia Rd Suite 103
Martinez GA 30907-1450
Phone: (706) 863-1440
Fax: (706) 863-5418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X |
Profile Details
| NPI number | 1942376918 |
|---|---|
| LBN Legal business name | Covenant Multispecialty Group |
| DBA Doing business as | Covenant Pediatrics |
| Authorized official | Getts, Alan Grant Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Nov 14th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942376918 | NPPES |
| Georgia | MEDICAID | 847566681C |
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