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COVENANT MEDICAL GROUP, INC
NPI 1073823407
Durable Medical Equipment & Medical Supplies in Sevierville, TN

Active since October 19, 2010CLIA 44D2054476 · Waiver
629 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 774-4440(865) 774-4868 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2016, Feb 8, 2016 (2 updates tracked since 2016).

About Covenant Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT MEDICAL GROUP, INC (NPI 1073823407) is a healthcare organization registered as a durable medical equipment & medical supplies in Sevierville, Tennessee and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Julie G Utterback, Vp Financial Services, as its authorized official.

NPPES Registry Identity

NPI1073823407
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOVENANT MEDICAL GROUP, INC
Location Address629 MIDDLE CREEK RDSevierville, TN 37862-5014
Mailing Address1400 Centerpoint Blvd, Bldg A, Ste 202Knoxville, TN 37932-1979 · (865) 374-5121 · Fax (865) 374-9004
Phone(865) 774-4440
Fax(865) 774-4868
Organization SubpartNo
Authorized OfficialJulie G UtterbackVp Financial Services · (865) 374-5119
Enumeration DateOctober 19, 2010
Last NPPES UpdateFebruary 17, 20162 updates tracked since enumeration
✔ NPI 1073823407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedSpecialistTaxonomy 174400000X · License 27646 (TN)
629 MIDDLE CREEK RD, Sevierville, TN 37862
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Other Identifiers 3

Medicaid3734041TN
Medicare PIN3734041TN
Medicare NSC6516130001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2054476

Covenant Medical Group, Inc Dba Sevier County Wellness Clinic · Sevierville, TN
Active · expires Feb 20, 2027
CLIA Number44D2054476
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDr. David Vastine
Laboratory Phone(865) 366-4554
Laboratory LocationCovenant Medical Group, Inc Dba Sevier County Wellness Clinic717 Middle Creek Rd, Sevierville, TN 37862
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1002006

Covenant Medical Group Dba Leconte Pulmonary & Critical Care Medicine · Sevierville, TN
Expired · Jul 24, 2026
CLIA Number44D1002006
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorChristopher Palmer
Laboratory Phone(865) 446-9675
Laboratory LocationCovenant Medical Group Dba Leconte Pulmonary & Critical Care Medicine744 Middle Creek Road, Ste 208, Sevierville, TN 37862
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID R ROBINS SR. D.O.
Orthopaedic Surgery
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 774-4440
SUMMIT MEDICAL GROUP PLLC
Pediatrics
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 453-9980
SARAH KAMP NP
Nurse Practitioner (Pediatrics)
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 453-9980
JAMES DARYL JORDAN M.D.
Orthopaedic Surgery
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 774-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Medical Group, Inc's NPI number?

The NPI number for Covenant Medical Group, Inc is 1073823407. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Covenant Medical Group, Inc located?

Covenant Medical Group, Inc is located at 629 Middle Creek Rd, Sevierville, TN 37862. The listed phone number is (865) 774-4440.

What is Covenant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Covenant Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2054476) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covenant Medical Group, Inc was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.