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COVENANT COMMUNITY, INC.
NPI 1740491828
Substance Abuse Rehabilitation Facility in Atlanta, GA

Active since May 24, 2007CLIA 11D2057903 · Waiver
623 SPRING ST NW, ATLANTA, GA 30308(404) 881-4660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Community, Inc. NPPES

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

COVENANT COMMUNITY, INC. (NPI 1740491828) is a healthcare organization registered as a substance abuse rehabilitation facility in Atlanta, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Jeanette Ray, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740491828
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOVENANT COMMUNITY, INC.
Location Address623 SPRING ST NWAtlanta, GA 30308-1907
Mailing Address623 Spring St NwAtlanta, GA 30308-1907 · (404) 881-4660
Phone(404) 881-4660
Organization SubpartNo
Authorized OfficialJeanette RayExecutive Director · (404) 267-4294
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740491828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in GA · 060403D
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
623 SPRING ST NW, Atlanta, GA 30308
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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 11D2057903

Covenant Community, Inc · Atlanta, GA
Active · expires Oct 30, 2027
CLIA Number11D2057903
Laboratory TypeRes Drug Treatment
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorTamika Stewart
Laboratory Phone(404) 823-7773
Laboratory LocationCovenant Community, Inc623 Spring Street, NW, Atlanta, GA 30308
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Community, Inc.'s NPI number?

The NPI number for Covenant Community, Inc. is 1740491828. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Covenant Community, Inc. located?

Covenant Community, Inc. is located at 623 Spring St NW, Atlanta, GA 30308. The listed phone number is (404) 881-4660.

What is Covenant Community, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Covenant Community, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2057903) is associated with this NPI, valid through October 30, 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 Community, Inc. was last updated on August 22, 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.