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COVENANT MEDICAL GROUP, INC
NPI 1730468182
Durable Medical Equipment & Medical Supplies in Lenoir City, TN

Active since August 16, 2011CLIA 44D0722118 · Microscopy
423 MEDICAL PARK DR, STE 100, LENOIR CITY, TN 37772(865) 271-6575(865) 986-7807 Get Directions Write a Review

NPPES record last updated: February 17, 2016. 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 1730468182) is a healthcare organization registered as a durable medical equipment & medical supplies in Lenoir City, Tennessee and active in the NPI registry since August 2011. The organization holds a CLIA Microscopy certificate valid through September 11, 2026 and lists Julie G Utterback, Vp Financial Services, as its authorized official.

NPPES Registry Identity

NPI1730468182
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOVENANT MEDICAL GROUP, INC
Location Address423 MEDICAL PARK DR, STE 100Lenoir City, TN 37772-5640
Mailing Address1400 Centerpoint Blvd, Bldg A, Ste 202Knoxville, TN 37932-1979 · (865) 374-5200 · Fax (865) 374-5201
Phone(865) 271-6575
Fax(865) 986-7807
Organization SubpartNo
Authorized OfficialJulie G UtterbackVp Financial Services · (865) 374-5119
Enumeration DateAugust 16, 2011
Last NPPES UpdateFebruary 17, 2016
✔ NPI 1730468182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedSpecialistTaxonomy 174400000X
423 MEDICAL PARK DR, Lenoir City, TN 37772
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Other Identifiers 3

Medicare NSC6516130002
Medicare PIN3734041TN
Medicaid3734041TN

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

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0722118

Fort Loudoun Primary Care Dba Covenant Medical Group · Lenoir City, TN
Active · expires Sep 11, 2026
CLIA Number44D0722118
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorDr. Kelly Caldwell-Chor
Laboratory Phone(865) 271-6600
Laboratory LocationFort Loudoun Primary Care Dba Covenant Medical Group423 Medical Park Drive, Suite 100, Lenoir City, TN 37772
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 20

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

TROY W. STOVALL D.O.
Family Medicine
423 MEDICAL PARK DR, SUITE 100
LENOIR CITY, TN 37772
Loudon County (865) 271-6600
JOHN MASON
Counselor (Mental Health)
423 MEDICAL PARK DR, SUITE 400
LENOIR CITY, TN 37772
Loudon County (865) 374-7100
DR. KELLY ANN CALDWELL-CHOR MD
Family Medicine
423 MEDICAL PARK DR, SUITE 100
LENOIR CITY, TN 37772
Loudon County (865) 271-6600
NICOLE R GEERLOF
Counselor (Mental Health)
423 MEDICAL PARK DR, SUITE 400
LENOIR CITY, TN 37772
Loudon County (865) 374-7100
MATTHEW T LAVELLE PA
Physician Assistant
423 MEDICAL PARK DR, SUITE 100
LENOIR CITY, TN 37772
Loudon County (865) 271-6600
JOSEPH K MURPHY LPC
Counselor (Professional)
423 MEDICAL PARK DR
LENOIR CITY, TN 37772
Loudon County (865) 970-9800
ELIZABETH LANGLEY M.D.
Psychiatry & Neurology (Psychiatry)
423 MEDICAL PARK DR, SUITE 400
LENOIR CITY, TN 37772
Loudon County (865) 970-9800
MATTHEW R. MOORE
Social Worker (School)
423 MEDICAL PARK DR
LENOIR CITY, TN 37772
Loudon County (865) 970-9800

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 1730468182. It was assigned to this organization in the NPPES registry on August 16, 2011.

Where is Covenant Medical Group, Inc located?

Covenant Medical Group, Inc is located at 423 Medical Park Dr Ste 100, Lenoir City, TN 37772. The listed phone number is (865) 271-6575.

What is Covenant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Covenant Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0722118) is associated with this NPI, valid through September 11, 2026. 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 February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.