COVENANT PRIMARY CARE
NPI 1336502012
Internal Medicine in Savannah, GA

NPI Status: Active since March 31, 2016

Contact Information

11700 MERCY BLVD # 3
SAVANNAH, GA
ZIP 31419
Phone: (912) 927-8887
Fax: (912) 927-8064

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  • Organization
  • Internal Medicine

About COVENANT PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Covenant Primary Care, an internist established in Savannah, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1336502012 assigned on March 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Timothy J Sak (Dir Of Operations)

NPI
1336502012
Provider Name
COVENANT PRIMARY CARE
Entity Type
Organization
Location Address
11700 MERCY BLVD # 3 SAVANNAH, GA 31419
Location Phone
(912) 927-8887
Location Fax
(912) 927-8064
Mailing Address
11700 MERCY BLVD # 3 SAVANNAH, GA 31419
Mailing Phone
(912) 927-8887
Mailing Fax
(912) 927-8064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2016
Last Update Date
03-31-2016
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An internist like Covenant Primary Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY J SAK

Authorized Official Title
DIR OF OPERATIONS
Authorized Official Phone
(912) 927-8887

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336502012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366100402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 0 + 4 + 0 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1336502012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

FRED E POTTS IV M.D.

Internal Medicine

11700 MERCY BLVD # 3
SAVANNAH, GA
ZIP 31419

(912) 927-8887

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336502012, enumerated as an "organization" on March 31, 2016.

The provider is located at 11700 MERCY BLVD # 3 SAVANNAH, GA 31419 and the phone number is (912) 927-8887.

Internal Medicine with taxonomy code 207R00000X.