COVENANT PRIMARY & BEHAVIORAL CARE
NPI 1346816667
Clinic/Center - Multi-Specialty in Pembroke, NC

Q: 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.

Q: 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.

Active since May 27, 2021CLIA 34D2235767 · Waiver

812 CANDY PARK RD STE 6101-A, PEMBROKE, NC 28372(910) 778-5455(866) 423-7783 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Nov 10, 2021, Sep 14, 2021 and 3 more (6 updates tracked since 2021).

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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

NPI1346816667

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCOVENANT PRIMARY & BEHAVIORAL CARE

Location Address812 CANDY PARK RD STE 6101-APembroke, NC 28372-9120

Mailing AddressPo Box 1629Pembroke, NC 28372-1629 · (910) 778-5455 · Fax (910) 208-0655

Phone(910) 778-5455

Fax(866) 423-7783

Organization SubpartNo

Authorized OfficialWilliam Joshua JohnsonCeo & Provider · (910) 778-5455

Enumeration DateMay 27, 2021

Last NPPES UpdateJuly 25, 20226 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1346816667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

812 CANDY PARK RD STE 6101-A, Pembroke, NC 28372

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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, NC

Active · expires Sep 12, 2027

CLIA Number34D2235767

Laboratory TypePhysician Office

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorWilliam J. Johnson

Laboratory Phone(910) 778-5455

Laboratory LocationCovenant Primary & Behavioral Care, PLLC812 Cany Park Rd Suite 6101A, Pembroke, NC 28372

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. WILLIAM JOSHUA JOHNSON MSN, FNP-C, PMHNP-BC

Nurse Practitioner (Family)

812 CANDY PARK RD STE 6101-A
PEMBROKE, NC 28372

Robeson County (910) 778-5455

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 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.

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.