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COVENANT MEDICAL FAIRVIEW, PC
NPI 1164099339
Family Medicine in Fairview, TN

Active since June 07, 2021CLIA 44D2100921 · Waiver
2340 FAIRVIEW BLVD STE 600D, FAIRVIEW, TN 37062(615) 266-2177 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Medical Fairview, Pc NPPES

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

COVENANT MEDICAL FAIRVIEW, PC (NPI 1164099339) is a healthcare organization registered as a family medicine in Fairview, Tennessee and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Kelley R Carpenter, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1164099339
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOVENANT MEDICAL FAIRVIEW, PC
Location Address2340 FAIRVIEW BLVD STE 600DFairview, TN 37062-9457
Mailing Address2340 Fairview Blvd Ste 600dFairview, TN 37062-9457 · (615) 266-2177
Phone(615) 266-2177
Organization SubpartNo
Authorized OfficialKelley R CarpenterPractice Administrator · (615) 218-8566
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1164099339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2340 FAIRVIEW BLVD STE 600D, Fairview, TN 37062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 44D2100921

Covenant Medical- Fairview · Fairview, TN
Active · expires Aug 24, 2027
CLIA Number44D2100921
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorWalter Stephens
Laboratory Phone(615) 266-2177
Laboratory LocationCovenant Medical- Fairview2340 Fairview Blvd Suite 600D, Fairview, TN 37062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. KRISTINA D THORNBERRY NP-C
Nurse Practitioner (Family)
2340 FAIRVIEW BLVD STE 600D
FAIRVIEW, TN 37062
Williamson County (615) 266-2177
KYNDALL LEIGH PETRY
Nurse Practitioner (Family)
2340 FAIRVIEW BLVD STE 600D
FAIRVIEW, TN 37062
Williamson County (615) 266-2177
DR. SAVITA LEANNE FANTA M.D.
Internal Medicine
2340 FAIRVIEW BLVD STE 600D
FAIRVIEW, TN 37062
Williamson County (615) 446-6140

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 Fairview, PC's NPI number?

The NPI number for Covenant Medical Fairview, PC is 1164099339. It was assigned to this organization in the NPPES registry on June 7, 2021.

Where is Covenant Medical Fairview, PC located?

Covenant Medical Fairview, PC is located at 2340 Fairview Blvd Ste 600D, Fairview, TN 37062. The listed phone number is (615) 266-2177.

What is Covenant Medical Fairview, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Covenant Medical Fairview, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2100921) is associated with this NPI, valid through August 24, 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 Fairview, PC was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.