COVENANT MEDICAL GROUP INC
NPI 1629266994
Clinic/Center - Primary Care in Dickson, TN

NPI Status: Active since October 11, 2007

Contact Information

415 HENSLEE DR
DICKSON, TN
ZIP 37055
Phone: (615) 441-6140
Fax: (615) 441-6190

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 44D1076763
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-20-2027

About COVENANT MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Covenant Medical Group Inc, a primary care provider established in Dickson, Tennessee operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1629266994 assigned on October 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Walter Stephens Md (Owner)

NPI
1629266994
Provider Name
COVENANT MEDICAL GROUP INC
Entity Type
Organization
Location Address
415 HENSLEE DR DICKSON, TN 37055
Location Phone
(615) 441-6140
Location Fax
(615) 441-6190
Mailing Address
415 HENSLEE DR DICKSON, TN 37055
Mailing Phone
(615) 441-6140
Mailing Fax
(615) 441-6190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2007
Last Update Date
01-08-2008
Code Navigator

A primary care provider (PCP) like Covenant Medical Group Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

DR. WALTER STEPHENS MD

Authorized Official Title
OWNER
Authorized Official Phone
(615) 441-6140

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D1076763
Facility Type
Physician Office
Certificate Effective Date
November 21, 2025
Certificate Expiration Date
November 20, 2027
Laboratory Director
WALTER E. STEPHENS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Covenant Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629266994, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 4 + 6 + 1 + 2 + 9 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1629266994.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery
415 HENSLEE DR
DICKSON, TN 37055
Orthopaedic Surgery
415 HENSLEE DR
DICKSON, TN 37055
Pain Medicine (Interventional Pain Medicine)
415 HENSLEE DR
DICKSON, TN 37055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629266994, enumerated as an "organization" on October 11, 2007.

The provider is located at 415 HENSLEE DR DICKSON, TN 37055 and the phone number is (615) 441-6140.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.