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

Active since October 11, 2007CLIA 44D1076763 · Waiver
415 HENSLEE DR, DICKSON, TN 37055(615) 441-6140(615) 441-6190 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Medical Group Inc NPPES

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

COVENANT MEDICAL GROUP INC (NPI 1629266994) is a healthcare organization registered as a primary care in Dickson, Tennessee and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Walter Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1629266994
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOVENANT MEDICAL GROUP INC
Location Address415 HENSLEE DRDickson, TN 37055-2166
Mailing Address415 Henslee DrDickson, TN 37055-2166 · (615) 441-6140 · Fax (615) 441-6190
Phone(615) 441-6140
Fax(615) 441-6190
Organization SubpartNo
Authorized OfficialWalter StephensOwner · (615) 441-6140
Enumeration DateOctober 11, 2007
Last NPPES UpdateJanuary 8, 2008
✔ NPI 1629266994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
415 HENSLEE DR, Dickson, TN 37055
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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 44D1076763

Covenant Medical Group · Dickson, TN
Active · expires Nov 20, 2027
CLIA Number44D1076763
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorWalter E. Stephens
Laboratory Phone(615) 441-4160
Laboratory LocationCovenant Medical Group200 Creekside Drive, Dickson, TN 37055
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 3

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

HORIZON ORTHOPEDICS, LLC
Orthopaedic Surgery
415 HENSLEE DR
DICKSON, TN 37055
Dickson County (615) 446-7003
ORTHOPAEDIC SPECIALISTS PLLC
Orthopaedic Surgery
415 HENSLEE DR
DICKSON, TN 37055
Dickson County (615) 375-8287
COMPREHENSIVE NEUROLOGY CENTER, PLLC
Pain Medicine (Interventional Pain Medicine)
415 HENSLEE DR
DICKSON, TN 37055
Dickson County (615) 410-4250

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 Inc's NPI number?

The NPI number for Covenant Medical Group Inc is 1629266994. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Covenant Medical Group Inc located?

Covenant Medical Group Inc is located at 415 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 441-6140.

What is Covenant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Covenant Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1076763) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covenant Medical Group Inc was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.