COVENANT MEDICAL CENTER PC
NPI 1770726721
Internal Medicine in Lilburn, GA
About Covenant Medical Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT MEDICAL CENTER PC (NPI 1770726721) is a healthcare organization registered as an internal medicine in Lilburn, Georgia and active in the NPI registry since April 2009. The organization lists Cecilia O Babalola, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Covenant Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Covenant Medical Center PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lilburn, GA 30047
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Center PC's NPI number?
The NPI number for Covenant Medical Center PC is 1770726721. It was assigned to this organization in the NPPES registry on April 7, 2009.
Where is Covenant Medical Center PC located?
Covenant Medical Center PC is located at 3970 Five Forks Trickum Rd SW Suite A, Lilburn, GA 30047. The listed phone number is (678) 357-1282.
What is Covenant Medical Center PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Covenant Medical Center PC enrolled in Medicare?
Yes. Covenant Medical Center PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Covenant Medical Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Covenant Medical Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Covenant Medical Center PC was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Covenant Medical Center Pc · NPI 1770726721
Internal Medicine organization in Lilburn, Georgia. Organization record, active in the CMS NPPES registry since April 7, 2009.
## Identity
- **NPI:** 1770726721 (Entity type: Organization)
- **Enumerated:** April 7, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Cecilia Babalola, PHYSICIAN/OWNER
## Practice location
- **Address:** 3970 FIVE FORKS TRICKUM RD SW, SUITE A, Lilburn, GA 30047-2339
- **Phone:** (678) 357-1282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2010
- **Other identifiers:** Medicare PIN 202G114675 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770726721) · Data from the CMS NPPES public registry.