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COVENANT CARE PEDIATRICS PC
NPI 1902941503
Pediatrics in Stockbridge, GA

Active since February 21, 2007CLIA 11D1031385 · Waiver
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281(770) 389-4543(770) 474-0566 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant Care Pediatrics Pc NPPES

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

COVENANT CARE PEDIATRICS PC (NPI 1902941503) is a healthcare organization registered as a pediatrics in Stockbridge, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Patrick Pulliam, President, as its authorized official.

NPPES Registry Identity

NPI1902941503
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOVENANT CARE PEDIATRICS PC
Location Address245 COUNTRY CLUB DR BLDG 200AStockbridge, GA 30281-7212
Mailing Address245 Country Club Dr Bldg 200aStockbridge, GA 30281-7212 · (770) 389-4543 · Fax (770) 474-0566
Phone(770) 389-4543
Fax(770) 474-0566
Organization SubpartNo
Authorized OfficialPatrick PulliamPresident · (770) 389-4543
Enumeration DateFebruary 21, 2007
Last NPPES UpdateDecember 18, 2017
✔ NPI 1902941503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
245 COUNTRY CLUB DR BLDG 200A, Stockbridge, GA 30281
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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 Waiver 11D1031385

Covenant Care Pediatrics · Stockbridge, GA
Active · expires Sep 28, 2026
CLIA Number11D1031385
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorPatrick N. Pulliam
Laboratory Phone(770) 389-4543
Laboratory LocationCovenant Care Pediatrics245 Country Club Drive, Suite 200 A, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. PATRICK NEAL PULLIAM M.D.
Pediatrics
245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281
Henry County (770) 389-4543
REBECCA ANNE SMITH CPNP
Nurse Practitioner (Pediatrics)
245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281
Henry County (770) 389-4543

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 Care Pediatrics PC's NPI number?

The NPI number for Covenant Care Pediatrics PC is 1902941503. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Covenant Care Pediatrics PC located?

Covenant Care Pediatrics PC is located at 245 Country Club Dr Bldg 200A, Stockbridge, GA 30281. The listed phone number is (770) 389-4543.

What is Covenant Care Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Covenant Care Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1031385) is associated with this NPI, valid through September 28, 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 Care Pediatrics PC was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.