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COVENANT FAMILY MEDICINE
NPI 1962532085
Family Medicine in Dacula, GA

Active since March 07, 2007
2098 TERON TRACE SUITE 150, DACULA, GA 30019(678) 730-1620(678) 730-0858 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Family Medicine NPPES

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

COVENANT FAMILY MEDICINE (NPI 1962532085) is a healthcare organization registered as a family medicine in Dacula, Georgia and active in the NPI registry since March 2007. The organization lists Henry Song Moon, Partner, as its authorized official.

NPPES Registry Identity

NPI1962532085
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOVENANT FAMILY MEDICINE
Location Address2098 TERON TRACE SUITE 150Dacula, GA 30019
Mailing Address2098 Teron Trace Suite 150Dacula, GA 30019 · (678) 730-1620 · Fax (678) 730-0858
Phone(678) 730-1620
Fax(678) 730-0858
Organization SubpartNo
Authorized OfficialHenry Song MoonPartner · (678) 730-1620
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1962532085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2098 TERON TRACE SUITE 150, Dacula, GA 30019
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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

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 Family Medicine's NPI number?

The NPI number for Covenant Family Medicine is 1962532085. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Covenant Family Medicine located?

Covenant Family Medicine is located at 2098 Teron Trace Suite 150, Dacula, GA 30019. The listed phone number is (678) 730-1620.

What is Covenant Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Covenant Family Medicine was last updated on January 15, 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.