COVENANT HEALTH LLC
NPI 1326710468
Clinic/Center - Urgent Care in Rockport, AR

Active since September 28, 2021CLIA 04D2242380 · Waiver
1580 TANNER ST, ROCKPORT, AR 72104(501) 229-2920(501) 337-9964 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Covenant Health Llc NPPES

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

COVENANT HEALTH LLC (NPI 1326710468) is a healthcare organization registered as an urgent care in Rockport, Arkansas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Kim Overton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326710468
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCOVENANT HEALTH LLC
Location Address1580 TANNER STRockport, AR 72104-2023
Mailing Address1580 Tanner StRockport, AR 72104-2023 · (015) 229-2920 · Fax (501) 337-9964
Fax(501) 337-9964
Organization SubpartNo
Authorized OfficialKim OvertonOffice Manager · (501) 337-9994
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1326710468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1580 TANNER ST, Rockport, AR 72104

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 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
StateArkansasEnrollment IDO20211129000964Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Covenant Health LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1740956721
1580 TANNER ST
Rockport, AR 72104
(501) 337-9994
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619992377
1580 TANNER ST
Rockport, AR 72104
(501) 332-7981
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164889002
1580 TANNER ST
Rockport, AR 72104
(501) 337-9994
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972269785
1580 TANNER ST
Rockport, AR 72104
(501) 337-9994
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114524436
1002 SCHNEIDER DR STE 104
Malvern, AR 72104
(501) 337-9994
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1326425919
1002 SCHNEIDER DR STE 104
Malvern, AR 72104
(501) 337-9994
✔ PECOS3.1 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 04D2242380

Covenant Healthcare LLC · Rockport, AR
Active · expires Nov 7, 2027
CLIA Number04D2242380
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Michael S. Higginbotham
Laboratory Phone(501) 229-2920
Laboratory LocationCovenant Healthcare LLC1580 Tanner St, Rockport, AR 72104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 LLC's NPI number?

The NPI number for Covenant Health LLC is 1326710468. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Covenant Health LLC located?

Covenant Health LLC is located at 1580 Tanner St, Rockport, AR 72104. The listed phone number is (501) 229-2920.

What is Covenant Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Covenant Health LLC enrolled in Medicare?

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

When is Covenant Health 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 (Arkansas, Clinic/Group Practice) 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 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Covenant Health 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. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Covenant Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2242380) is associated with this NPI, valid through November 7, 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 Covenant Health LLC was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.