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COVENANT HEALTH DIAGNOSTIC CENTERS, LLC
NPI 1255950895
Physiological Laboratory in Knoxville, TN

Active since April 14, 2020CLIA 44D2286564 · Waiver
210 FORT SANDERS WEST BLVD, BLDG 3, SUITE 100, KNOXVILLE, TN 37922(865) 531-5400 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, Nov 8, 2021, Apr 14, 2020 (3 updates tracked since 2020).

About Covenant Health Diagnostic Centers, Llc NPPES

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

COVENANT HEALTH DIAGNOSTIC CENTERS, LLC (NPI 1255950895) is a healthcare organization registered as a physiological laboratory in Knoxville, Tennessee and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Monty Scott, Cao, as its authorized official.

NPPES Registry Identity

NPI1255950895
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameCOVENANT HEALTH DIAGNOSTIC CENTERS, LLC
Location Address210 FORT SANDERS WEST BLVD, BLDG 3, SUITE 100Knoxville, TN 37922-3353
Mailing Address1420 Centerpoint Blvd Bldg CKnoxville, TN 37932-1960 · (865) 374-3000
Phone(865) 531-5400
Organization SubpartNo
Authorized OfficialMonty ScottCao · (865) 374-5200
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1255950895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
210 FORT SANDERS WEST BLVD, Knoxville, TN 37922
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Covenant Health Diagnostic Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220114001284Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Covenant Health Diagnostic Centers, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (15)

Steven Repka, M.D.
Diagnostic Radiology
NPI 1841463627
DEPT 888302
Knoxville, TN 37995
(865) 766-6870
✔ PECOS✔ Accepts Medicare1.2 mi
Jason Deen, MD
Diagnostic Radiology
NPI 1477675452
2001 LAUREL AVE STE 304
Knoxville, TN 37916
(865) 595-4100
✔ PECOS✔ Accepts Medicare11 mi
Daniel Hoss, MD
Diagnostic Radiology
NPI 1396037081
2001 LAUREL AVE N304
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
Rupesh Patel, M.D.
Diagnostic Radiology
NPI 1679968762
2001 LAUREL AVE
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
Peter Coulson, M.D.
Diagnostic Radiology
NPI 1427460732
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
Garth Graham, MD
Diagnostic Radiology
NPI 1790765378
2001 LAUREL AVE SUITE N304
Knoxville, TN 37916
(865) 546-9484
✔ PECOS✔ Accepts Medicare11 mi
Harry Hixson, M.D.
Diagnostic Radiology
NPI 1679701791
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
William Holmes, MD
Diagnostic Radiology
NPI 1518937770
2001 LAUREL AVE SUITE N304
Knoxville, TN 37916
(865) 546-9484
✔ PECOS✔ Accepts Medicare11 mi
Sidney Roberts, MD
Diagnostic Radiology
NPI 1891765061
2001 LAUREL AVE SUITE N304
Knoxville, TN 37916
(865) 546-9484
✔ PECOS✔ Accepts Medicare11 mi
Sneha Thakur, MD
Diagnostic Radiology
NPI 1770016289
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
Hunter Upton, M.D.
Diagnostic Radiology
NPI 1265894380
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 595-4100
✔ PECOS✔ Accepts Medicare11 mi
Paul Wooldridge, M.D.
Diagnostic Radiology
NPI 1790904951
2001 LAUREL AVE N304
Knoxville, TN 37916
(865) 766-6870
✔ PECOS✔ Accepts Medicare11 mi
Jacob Bermudez, MD
Diagnostic Radiology
NPI 1679134761
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 595-4100
✔ PECOS✔ Accepts Medicare11 mi
Daniel Ramsey, DO
Diagnostic Radiology
NPI 1114486057
2001 LAUREL AVE # N304
Knoxville, TN 37916
(865) 595-4100
✔ PECOS✔ Accepts Medicare11 mi
John Williams, MD
Diagnostic Radiology
NPI 1659341832
2001 LAUREL AVE SUITE N304
Knoxville, TN 37916
(865) 546-9484
✔ PECOS11 mi

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

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 44D2286564

Covenant Health Diagnostics, LLC · Knoxville, TN
Active · expires Jul 31, 2027
CLIA Number44D2286564
Laboratory TypeOdc/Idtf
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorJohn P. Williams III
Laboratory Phone(865) 531-5400
Laboratory LocationCovenant Health Diagnostics, LLC210 Fort Sanders West Blvd, Bldg 3, Suite 100, Knoxville, TN 37922
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 49

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
883 services883 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
881 services881 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
248 services225 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
188 services188 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
100 services89 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
90 services80 patients

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 Health Diagnostic Centers, LLC's NPI number?

The NPI number for Covenant Health Diagnostic Centers, LLC is 1255950895. It was assigned to this organization in the NPPES registry on April 14, 2020.

Where is Covenant Health Diagnostic Centers, LLC located?

Covenant Health Diagnostic Centers, LLC is located at 210 Fort Sanders West Blvd Bldg 3, Suite 100, Knoxville, TN 37922. The listed phone number is (865) 531-5400.

What is Covenant Health Diagnostic Centers, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Is Covenant Health Diagnostic Centers, LLC enrolled in Medicare?

Yes. Covenant Health Diagnostic Centers, LLC is registered in the Medicare PECOS enrollment system.

When is Covenant Health Diagnostic Centers, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Covenant Health Diagnostic Centers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Covenant Health Diagnostic Centers, LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Covenant Health Diagnostic Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2286564) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Covenant Health Diagnostic Centers, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Covenant Health Diagnostic Centers, LLC 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 Health Diagnostic Centers, LLC was last updated on July 7, 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.