BIVINS ENTERPRISE, LLC
NPI 1902495179
Clinic/Center - Primary Care in Covington, GA

Active since January 13, 2021
30 ROSEMOORE DR, COVINGTON, GA 30014(404) 820-0964 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bivins Enterprise, Llc NPPES

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

BIVINS ENTERPRISE, LLC (NPI 1902495179), doing business as Bivins Geriatric Healthcare, is a healthcare organization registered as a primary care in Covington, Georgia and active in the NPI registry since January 2021. The organization lists Valerie Elaine Fanning, President, as its authorized official.

NPPES Registry Identity

NPI1902495179
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBIVINS ENTERPRISE, LLC
Location Address30 ROSEMOORE DRCovington, GA 30014-7065
Mailing Address5486 Somersby PkwyPinson, AL 35126-5512 · (140) 482-0096
Organization SubpartNo
Authorized OfficialValerie Elaine FanningPresident · (404) 820-0964
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
NPI 1902495179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
30 ROSEMOORE DR, Covington, GA 30014

Other Names 1

Doing Business AsBivins Geriatric Healthcare

Other Providers at the Same Location NPPES

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

Nurse Practitioner
30 ROSEMOORE DR
COVINGTON, GA 30014

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 Bivins Enterprise, LLC's NPI number?

The NPI number for Bivins Enterprise, LLC is 1902495179. It was assigned to this organization in the NPPES registry on January 13, 2021. The provider is doing business as Bivins Geriatric Healthcare.

Where is Bivins Enterprise, LLC located?

Bivins Enterprise, LLC is located at 30 Rosemoore Dr, Covington, GA 30014. The listed phone number is (404) 820-0964.

What is Bivins Enterprise, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bivins Enterprise, LLC was last updated on January 13, 2021. 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.