COVENANT FAMILY ALLERGY, PC
NPI 1205002888
Allergy & Immunology in North Augusta, SC

Q: What is Covenant Family Allergy, PC's NPI number?

The NPI number for Covenant Family Allergy, PC is 1205002888. It was assigned to this organization in the NPPES registry on May 5, 2008.

Q: What is Covenant Family Allergy, PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since May 05, 2008

616 EDGEFIELD RD, SUITE 180, NORTH AUGUSTA, SC 29841(803) 279-7666(803) 279-0708 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Covenant Family Allergy, Pc NPPES

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

COVENANT FAMILY ALLERGY, PC (NPI 1205002888) is a healthcare organization registered as an allergy & immunology in North Augusta, South Carolina and active in the NPI registry since May 2008. The organization lists Matthew T Clark, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1205002888

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameCOVENANT FAMILY ALLERGY, PC

Location Address616 EDGEFIELD RD, SUITE 180North Augusta, SC 29841-1938

Mailing Address616 Edgefield Rd, Suite 180North Augusta, SC 29841-1938 · (803) 279-7666 · Fax (803) 279-0708

Phone(803) 279-7666

Fax(803) 279-0708

Organization SubpartNo

Authorized OfficialMatthew T ClarkPhysician/owner · (803) 441-8648

Enumeration DateMay 5, 2008

Last NPPES UpdateApril 18, 2013

✔ NPI 1205002888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in SC · 28227

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

616 EDGEFIELD RD, North Augusta, SC 29841

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Other Identifiers 2

Other28227SC · State Medical License

Other57156GA · State Medical License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Covenant Family Allergy, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Covenant Family Allergy, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Clark, M.D.

Allergy/Immunology

NPI 1053433250

616 EDGEFIELD RD SUITE 180
North Augusta, SC 29841

(803) 279-7666

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Allergy, PC's NPI number?

The NPI number for Covenant Family Allergy, PC is 1205002888. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Covenant Family Allergy, PC located?

Covenant Family Allergy, PC is located at 616 Edgefield Rd Suite 180, North Augusta, SC 29841. The listed phone number is (803) 279-7666.

What is Covenant Family Allergy, PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Covenant Family Allergy, PC enrolled in Medicare?

Yes. Covenant Family Allergy, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Covenant Family Allergy, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Covenant Family Allergy, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Covenant Family Allergy, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Covenant Family Allergy, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant Family Allergy, PC was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.