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COVENANTAL HEALTH PLLC
NPI 1194530642
Nurse Practitioner - Primary Care in Monroe, NC

Active since February 11, 2025CLIA 34D2324991 · Waiver
701 E ROOSEVELT BLVD STE 800A, MONROE, NC 28112(704) 776-4048(877) 497-4784 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Jun 5, 2025, Feb 11, 2025 (3 updates tracked since 2025).

About Covenantal Health Pllc NPPES

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

COVENANTAL HEALTH PLLC (NPI 1194530642) is a healthcare organization registered as a primary care in Monroe, North Carolina and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Tarra Marsh Boyd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194530642
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCOVENANTAL HEALTH PLLC
Location Address701 E ROOSEVELT BLVD STE 800AMonroe, NC 28112-5187
Mailing AddressPo Box 278Waxhaw, NC 28173-1043 · (704) 772-1628 · Fax (877) 497-4784
Phone(704) 776-4048
Fax(877) 497-4784
Organization SubpartNo
Authorized OfficialTarra Marsh BoydCeo · (704) 891-6763
Enumeration DateFebruary 11, 2025
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1194530642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
701 E ROOSEVELT BLVD STE 800A, Monroe, NC 28112
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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 34D2324991

Covenantal Health, PLLC · Monroe, NC
Active · expires Jun 3, 2027
CLIA Number34D2324991
Laboratory TypeHome Health Agency
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorTara M. Boyd
Laboratory Phone(704) 772-1628
Laboratory LocationCovenantal Health, PLLC701 Roosevelt Blvd East, Suite 800-A, Monroe, NC 28112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

YVONNE VERLA TAH FNP
Nurse Practitioner (Family)
701 E ROOSEVELT BLVD STE 800A
MONROE, NC 28112
Union County (704) 225-0211
DR. AWAWU EKINADOESE IGBINADOLOR M.D.
Internal Medicine (Adolescent Medicine)
701 E ROOSEVELT BLVD STE 800A
MONROE, NC 28112
Union County (704) 225-0211

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 Covenantal Health PLLC's NPI number?

The NPI number for Covenantal Health PLLC is 1194530642. It was assigned to this organization in the NPPES registry on February 11, 2025.

Where is Covenantal Health PLLC located?

Covenantal Health PLLC is located at 701 E Roosevelt Blvd Ste 800A, Monroe, NC 28112. The listed phone number is (704) 776-4048.

What is Covenantal Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Covenantal Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2324991) is associated with this NPI, valid through June 3, 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 Covenantal Health PLLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.