COVENANT MEDICAL GROUP, INC
NPI 1386241859
Urology in Knoxville, TN

NPI Status: Active since October 07, 2020

Contact Information

2001 LAUREL AVE STE 502
KNOXVILLE, TN
ZIP 37916
Phone: (865) 331-9000
Fax: (865) 374-2010

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  • Organization
  • Urology

About COVENANT MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Covenant Medical Group, Inc, a provider established in Knoxville, Tennessee operating as a Urology. The healthcare provider is registered in the NPI registry with number 1386241859 assigned on October 2020. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Julie Utterback (Vp Financial Services)

NPI
1386241859
Provider Name
COVENANT MEDICAL GROUP, INC
Entity Type
Organization
Location Address
2001 LAUREL AVE STE 502 KNOXVILLE, TN 37916
Location Phone
(865) 331-9000
Location Fax
(865) 374-2010
Mailing Address
1400 CENTERPOINT BLVD STE 202 KNOXVILLE, TN 37932
Mailing Phone
(865) 374-5200
Mailing Fax
(865) 374-2010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2020
Last Update Date
12-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JULIE UTTERBACK

Authorized Official Title
VP FINANCIAL SERVICES
Authorized Official Phone
(865) 374-5119

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386241859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166442810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 4 + 4 + 2 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1386241859 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891940904DR. JOHN-PAUL LAMAR NEWPORT MD
Individual
Urology2001 LAUREL AVE STE 502
KNOXVILLE, TN 37916
(865) 331-9000
1356104715 ASHLEY CAITLIN GREGG ZERINGUE PA-C
Individual
Physician Assistant2001 LAUREL AVE STE 502
KNOXVILLE, TN 37916
(865) 331-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386241859, enumerated in the NPI registry as an "organization" on October 07, 2020

The provider is located at 2001 Laurel Ave Ste 502 Knoxville, Tn 37916 and the phone number is (865) 331-9000

This medical organization specializes in Urology with taxonomy code 208800000X

This NPI record was last updated on October 07, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.