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COVENANT MEDICAL GROUP, INC
NPI 1851629828
Durable Medical Equipment & Medical Supplies in Knoxville, TN

Active since December 02, 2009CLIA 44D0710170 · Certificate of Compliance
1320 OLD WEISGARBER RD, KNOXVILLE, TN 37909(865) 584-2146(865) 584-9660 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2016, Feb 8, 2016 (2 updates tracked since 2016).

About Covenant Medical Group, Inc NPPES

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

COVENANT MEDICAL GROUP, INC (NPI 1851629828) is a healthcare organization registered as a durable medical equipment & medical supplies in Knoxville, Tennessee and active in the NPI registry since December 2009. The organization holds a CLIA Certificate of Compliance certificate valid through October 17, 2026 and lists Julie G Utterback, Vp Financial Services, as its authorized official.

NPPES Registry Identity

NPI1851629828
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOVENANT MEDICAL GROUP, INC
Location Address1320 OLD WEISGARBER RDKnoxville, TN 37909-1291
Mailing Address1400 Centerpoint Blvd, Suite 202, Bldg AKnoxville, TN 37932-1979 · (865) 374-5200 · Fax (865) 374-5201
Phone(865) 584-2146
Fax(865) 584-9660
Organization SubpartNo
Authorized OfficialJulie G UtterbackVp Financial Services · (865) 374-5119
Enumeration DateDecember 2, 2009
Last NPPES UpdateFebruary 17, 20162 updates tracked since enumeration
✔ NPI 1851629828 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 ListedFamily MedicineTaxonomy 207Q00000X
1320 OLD WEISGARBER RD, Knoxville, TN 37909
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Other Identifiers 2

Medicare NSC6516130003
Medicare PIN3734041TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Compliance 44D0710170

Covenant Medical Group Central Lab · Knoxville, TN
Active · expires Oct 17, 2026
CLIA Number44D0710170
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorDr. Kristan M. Ahler
Laboratory Phone(865) 331-4100
Laboratory LocationCovenant Medical Group Central Lab6600 Nightingale Lane, Lower Level, Knoxville, TN 37909
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

JASON R. BRUER PT
Physical Therapist
1320 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Knox County (865) 584-1054
BETHANY T SHIPP MPT
Physical Therapist
1320 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Knox County (865) 584-1054
DOROTHY HAYS BRANSON
Nurse Practitioner (Family)
1320 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Knox County (865) 584-1054
BRADFORD CHARLES LAYMAN DO
Family Medicine
1320 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Knox County (865) 584-1054

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 1851629828. It was assigned to this organization in the NPPES registry on December 2, 2009.

Where is Covenant Medical Group, Inc located?

Covenant Medical Group, Inc is located at 1320 Old Weisgarber Rd, Knoxville, TN 37909. The listed phone number is (865) 584-2146.

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 of Compliance (number 44D0710170) is associated with this NPI, valid through October 17, 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.