| Covenant Family Practice, Pc | |
|
1000 Highway 76 Clarksville TN 37043-8405 | |
| (931) 245-8000 | |
| (931) 245-0605 |
| Full Name | Covenant Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Highway 76, Clarksville, Tennessee |
| Authorized Official Name and Position | Robert Alan Wilson (PRESIDENT) |
| Authorized Official Contact | 9312451150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Practice, Pc Po Box 30459 Clarksville TN 37040-0008 Ph: (931) 245-8000 | Covenant Family Practice, Pc 1000 Highway 76 Clarksville TN 37043-8405 Ph: (931) 245-8000 |
| NPI Number | 1225073166 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 6305839093 |
|---|---|
| Medicare Enrollment ID | O20040407000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225073166 | NPI | - | NPPES |
| 3718348 | Medicaid | TN | |
| 4062086 | Other | TN | TN BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christa A Blane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851327977 PECOS PAC ID: 0446263685 Enrollment ID: I20060711000188 |
| Provider Name | Robert Alan Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699782557 PECOS PAC ID: 1850577909 Enrollment ID: I20110916000297 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295882348 PECOS PAC ID: 2163325606 Enrollment ID: I20160523001521 |
| Provider Name | Jewell Kaylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174961445 PECOS PAC ID: 2769618982 Enrollment ID: I20161227001784 |
| Provider Name | Jessica Millraney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309766 PECOS PAC ID: 3375827397 Enrollment ID: I20170310000722 |
| Provider Name | Rita Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482454 PECOS PAC ID: 6507107489 Enrollment ID: I20190402000947 |
| Provider Name | Olivia G Hutcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780148460 PECOS PAC ID: 7618218348 Enrollment ID: I20190408000874 |
| Provider Name | Sarah Davenport Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750846309 PECOS PAC ID: 8224467519 Enrollment ID: I20200408001002 |
| Provider Name | Melinda Faye Haddock-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427723089 PECOS PAC ID: 2365849056 Enrollment ID: I20210922003210 |
| Provider Name | Hilliary Maria Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437511870 PECOS PAC ID: 5698166361 Enrollment ID: I20220107000196 |
| Provider Name | Kathryn L Scoville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194758359 PECOS PAC ID: 3173543972 Enrollment ID: I20230131003029 |
| Provider Name | Delia Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497355390 PECOS PAC ID: 3779996277 Enrollment ID: I20230417001752 |
| Provider Name | Kristina M Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043992449 PECOS PAC ID: 5799139655 Enrollment ID: I20230926002155 |
| Provider Name | Tammy D Behr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609150044 PECOS PAC ID: 6002073822 Enrollment ID: I20250107003944 |
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