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COVENANT FAMILY PRACTICE, PC
NPI 1225073166
Family Medicine in Clarksville, TN

Active since June 17, 2006CLIA Certified · 2 labs
1000 HIGHWAY 76, CLARKSVILLE, TN 37043(931) 245-8000(931) 245-0605 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1225073166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOVENANT FAMILY PRACTICE, PC
Location Address1000 HIGHWAY 76Clarksville, TN 37043-8405
Mailing AddressPo Box 30459Clarksville, TN 37040-0008 · (931) 245-8000 · Fax (931) 245-0605
Phone(931) 245-8000
Fax(931) 245-0605
Organization SubpartNo
Authorized OfficialRobert Alan WilsonPresident · (931) 245-1150
Enumeration DateJune 17, 2006
Last NPPES UpdateNovember 5, 2019
✔ NPI 1225073166 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.
1000 HIGHWAY 76, Clarksville, TN 37043
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Other Identifiers 2

Other4062086TN · Tn Bcbs
Medicaid3718348TN

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 Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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, TN
Active · expires Jul 2, 2028
CLIA Number44D1086084
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorDr. Robert A. Wilson
Laboratory Phone(931) 245-1150
Laboratory LocationCovenant Family Practice, PC1000 Hwy 76 Suite A, Clarksville, TN 37043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2125380

Covenant Family Practice · Clarksville, TN
Active · expires Feb 6, 2027
CLIA Number44D2125380
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorDr. Robert A. Wilson
Laboratory Phone(931) 245-1692
Laboratory LocationCovenant Family Practice236 Uffelman Drive, Clarksville, TN 37043
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MR. ANTHONY ERIK GLYDWELL FNP-C
Nurse Practitioner (Family)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
JEWELL ANN KAYLOR APRN
Nurse Practitioner (Family)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
MR. ROBERT NIEMANN N.P.
Nurse Practitioner (Adult Health)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
COVENANT FAMILY PRACTICE
Clinic/Center (Primary Care)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
KARA COLEMAN DO
Family Medicine
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
COVENANT FAMILY PRACTICE
Clinic/Center (Primary Care)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150
MR. DONALD ALLEN BLACK PA-C
Physician Assistant (Medical)
1000 HIGHWAY 76
CLARKSVILLE, TN 37043
Montgomery County (931) 245-1150

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina 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.