# COVENANT MEDICAL GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881636488
- **Authorized official:** JULIE G UTTERBACK (VP FINANCIAL SERVICES)
- **Authorized official phone:** (865) 374-5119

## Contact information

- **Practice address:** 1300 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
- **Practice address phone:** (865) 584-2146
- **Practice address fax:** (865) 584-9660
- **Mailing address:** 1400 CENTERPOINT BLVD, BLDG A, STE 202, KNOXVILLE, TN 37932-1979
- **Mailing address phone:** (865) 374-5200
- **Mailing address fax:** (865) 374-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 09/28/2023