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COVENANT MEDICAL GROUP
NPI 1376598904
Family Medicine in Lubbock, TX

Active since May 23, 2006CLIA Certified · 9 labs
2215 NASHVILLE AVE, LUBBOCK, TX 79410(806) 725-4800(806) 723-6532 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2020, Oct 24, 2018, May 22, 2017 (3 updates tracked since 2017).

About Covenant Medical Group NPPES

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

COVENANT MEDICAL GROUP (NPI 1376598904) is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since May 2006. The organization holds 9 active CLIA laboratory certificates and lists Kristen Kothmann, Coo, as its authorized official.

NPPES Registry Identity

NPI1376598904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOVENANT MEDICAL GROUP
Location Address2215 NASHVILLE AVELubbock, TX 79410-1105
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5844 · Fax (806) 723-6532
Phone(806) 725-4800
Fax(806) 723-6532
Organization SubpartNo
Authorized OfficialKristen KothmannCoo · (806) 725-4800
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 23, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1376598904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
2215 NASHVILLE AVE, Lubbock, TX 79410
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Other Identifiers 5

Other0038GHTX · Bcbs Tx
Medicaid141656201TX
MedicaidG1594NM
OtherNM007E61NM · Bcbs Nm
MedicaidA7086NM

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

CLIA Laboratory Certificates CMS CLIA 9

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 45D2343679

Covenant Medical Group-Blann · Lubbock, TX
Active · expires May 10, 2028
CLIA Number45D2343679
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorDavid Blann
Laboratory Phone(806) 725-9403
Laboratory LocationCovenant Medical Group-Blann2102 Oxford Ave Suite A, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2006931

Covenant Medical Group Prenatal Care Center · Lubbock, TX
Active · expires May 3, 2028
CLIA Number45D2006931
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorVivian Cox, Fnp
Laboratory Phone(806) 725-7625
Laboratory LocationCovenant Medical Group Prenatal Care Center4102 24th Suite 503, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2298278

Covenant Medical Group · Lubbock, TX
Active · expires Jan 30, 2028
CLIA Number45D2298278
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorMarcel Lamothe
Laboratory Phone(806) 725-7640
Laboratory LocationCovenant Medical Group4102-24th Sutie 412, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2136925

Covenant Medical Group Henderson/Loveless · Lubbock, TX
Active · expires Sep 17, 2027
CLIA Number45D2136925
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorBennett Henderson
Laboratory Phone(806) 725-5521
Laboratory LocationCovenant Medical Group Henderson/Loveless4102 24th Sutie 406, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2328537

Covenant Medical Group - Urology West · Lubbock, TX
Active · expires Aug 11, 2027
CLIA Number45D2328537
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorDr. Ryan Owen
Laboratory Phone(806) 725-8787
Laboratory LocationCovenant Medical Group - Urology West3614 23rd Street, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D2229428

Covenant Medical Group-Winn · Lubbock, TX
Active · expires Jul 11, 2027
CLIA Number45D2229428
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorBridget Leann Winn
Laboratory Phone(806) 725-4826
Laboratory LocationCovenant Medical Group-Winn4102-24th Suite 505-A, Lubbock, TX 79410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. PAUL REDMOND MD
Pediatrics (Pediatric Emergency Medicine)
2215 NASHVILLE AVE
LUBBOCK, TX 79410
Lubbock County (806) 725-4800
HANNAH E STROH MSN, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
2215 NASHVILLE AVE
LUBBOCK, TX 79410
Lubbock County (806) 725-4800

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 Medical Group's NPI number?

The NPI number for Covenant Medical Group is 1376598904. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Covenant Medical Group located?

Covenant Medical Group is located at 2215 Nashville Ave, Lubbock, TX 79410. The listed phone number is (806) 725-4800.

What is Covenant Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Covenant Medical Group hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Covenant Medical Group was last updated on September 23, 2020. 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.