COVENANT PRIMARY & BEHAVIORAL CARE
NPI 1346816667
Clinic/Center - Multi-Specialty in Pembroke, NC
About Covenant Primary & Behavioral Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT PRIMARY & BEHAVIORAL CARE (NPI 1346816667) is a healthcare organization registered as a multi-specialty in Pembroke, North Carolina and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists William Joshua Johnson, Ceo & Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted 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 Primary & Behavioral Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Covenant Primary & Behavioral Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 34D2235767
Covenant Primary & Behavioral Care, PLLC · Pembroke, NCFrequently 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 Primary & Behavioral Care's NPI number?
The NPI number for Covenant Primary & Behavioral Care is 1346816667. It was assigned to this organization in the NPPES registry on May 27, 2021.
Where is Covenant Primary & Behavioral Care located?
Covenant Primary & Behavioral Care is located at 812 Candy Park Rd Ste 6101-A, Pembroke, NC 28372. The listed phone number is (910) 778-5455.
What is Covenant Primary & Behavioral Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Covenant Primary & Behavioral Care enrolled in Medicare?
Yes. Covenant Primary & Behavioral Care is registered in the Medicare PECOS enrollment system.
When is Covenant Primary & Behavioral Care'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 (North Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Primary & Behavioral Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Covenant Primary & Behavioral Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Covenant Primary & Behavioral Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2235767) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Covenant Primary & Behavioral Care accept?
Health plans from Blue Cross and Blue Shield of NC list Covenant Primary & Behavioral Care 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 Primary & Behavioral Care was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Primary & Behavioral Care · NPI 1346816667
Multi-Specialty organization in Pembroke, North Carolina. Organization record, active in the CMS NPPES registry since May 27, 2021.
## Identity
- **NPI:** 1346816667 (Entity type: Organization)
- **Enumerated:** May 27, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** William Johnson, CEO & PROVIDER
## Practice location
- **Address:** 812 CANDY PARK RD STE 6101-A, Pembroke, NC 28372-9120
- **Phone:** (910) 778-5455 · **Fax:** (866) 423-7783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346816667) · Data from the CMS NPPES public registry.