COVENANT FAMILY PRACTICE, PC
NPI 1225073166
Family Medicine in Clarksville, TN
About Covenant Family Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT FAMILY PRACTICE, PC (NPI 1225073166) is a healthcare organization registered as a family medicine in Clarksville, Tennessee and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Robert Alan Wilson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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 Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Covenant Family Practice, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 44D1086084
Covenant Family Practice, PC · Clarksville, TNCertificate of Waiver 44D2125380
Covenant Family Practice · Clarksville, TNFrequently 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 Practice, PC's NPI number?
The NPI number for Covenant Family Practice, PC is 1225073166. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is Covenant Family Practice, PC located?
Covenant Family Practice, PC is located at 1000 Highway 76, Clarksville, TN 37043. The listed phone number is (931) 245-8000.
What is Covenant Family Practice, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Covenant Family Practice, PC enrolled in Medicare?
Yes. Covenant Family Practice, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Covenant Family Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Covenant Family Practice, 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. The largest specialties are Nurse Practitioner (14), Family Practice (1) and General Practice (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Covenant Family Practice, PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Covenant Family Practice, PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Covenant Family Practice, 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 Practice, PC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Covenant Family Practice, Pc · NPI 1225073166
Family Medicine organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1225073166 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Wilson, PRESIDENT
## Practice location
- **Address:** 1000 HIGHWAY 76, Clarksville, TN 37043-8405
- **Phone:** (931) 245-8000 · **Fax:** (931) 245-0605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (1), General Practice (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2019
- **Other identifiers:** Other 4062086 (TN); Medicaid 3718348 (TN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225073166) · Data from the CMS NPPES public registry.