COVENANT MEDICAL GROUP – NPI #1740757764
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

COVENANT MEDICAL GROUP is a provider located in FAIRVIEW, TN. NPPES has assigned the NPI number 1740757764 to COVENANT MEDICAL GROUP on October 29, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COVENANT MEDICAL GROUP” is a dba name, the actual legal business name for this organization is ADVANCED DIAGNOSTIC IMAGING, PC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Feb 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COVENANT MEDICAL GROUP below.

NPI Profile for
ADVANCED DIAGNOSTIC IMAGING, PC

NPI Number
1740757764
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED DIAGNOSTIC IMAGING, PC
Doing Business As (dba): COVENANT MEDICAL GROUP
Primary location
2340 FAIRVIEW BOULEVARD
SUITE 600D
FAIRVIEW, TN 37062
Phone: (615) 441-6140 Fax:
Mailing address
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN 37072-3132
Phone: Fax:
Organization Subpart
Yes - COVENANT MEDICAL GROUP is subpart of another organization.
Authorized Official
SUSAN FENTON
CREDENTIALING SUPERVISOR
Phone: (615) 851-6033
Updated
Certification Date
Feb 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.