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COVINGTON ONE MEDICAL,LLC
NPI 1174732747
Internal Medicine in Covington, GA

Active since May 21, 2007CLIA 11D0969885 · Waiver
1065 ACCESS RD STE B, COVINGTON, GA 30014(707) 385-0045 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Aug 14, 2024, Aug 22, 2020 (3 updates tracked since 2020).

About Covington One Medical,llc NPPES

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

COVINGTON ONE MEDICAL,LLC (NPI 1174732747) is a healthcare organization registered as an internal medicine in Covington, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Chanel Y Huang, Authorization Officer, as its authorized official.

NPPES Registry Identity

NPI1174732747
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOVINGTON ONE MEDICAL,LLC
Location Address1065 ACCESS RD STE BCovington, GA 30014-6815
Mailing AddressPo Box 1277Covington, GA 30015-1277 · (678) 644-6740
Phone(707) 385-0045
Organization SubpartNo
Authorized OfficialChanel Y HuangAuthorization Officer · (770) 385-0045
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1174732747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1065 ACCESS RD STE B, Covington, GA 30014
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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

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 11D0969885

Covington One Medical, LLC · Covington, GA
Active · expires Jan 6, 2027
CLIA Number11D0969885
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorStar Ye
Laboratory Phone(770) 385-0045
Laboratory LocationCovington One Medical, LLC1065 Access Road, Suite D, Covington, GA 30014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Covington One Medical,llc's NPI number?

The NPI number for Covington One Medical,llc is 1174732747. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Covington One Medical,llc located?

Covington One Medical,llc is located at 1065 Access Rd Ste B, Covington, GA 30014. The listed phone number is (707) 385-0045.

What is Covington One Medical,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Covington One Medical,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0969885) is associated with this NPI, valid through January 6, 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 Covington One Medical,llc was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.