| Covington Family Care And Specialty Group | |
|
3546 Covington Hwy Suite C Decatur GA 30032-1823 | |
| (404) 284-7744 | |
| (404) 284-8006 |
| Full Name | Covington Family Care And Specialty Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 3546 Covington Hwy, Decatur, Georgia |
| Authorized Official Name and Position | Terri Yvonne Acker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4042847744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Family Care And Specialty Group 3546 Covington Hwy Suite C Decatur GA 30032-1823 Ph: (404) 284-7744 | Covington Family Care And Specialty Group 3546 Covington Hwy Suite C Decatur GA 30032-1823 Ph: (404) 284-7744 |
| NPI Number | 1942352778 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 9234119272 |
|---|---|
| Medicare Enrollment ID | O20040721001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942352778 | NPI | - | NPPES |
| 610247700 | Other | GA | OWCP-DCMWC |
| 000778016C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 044791 (Georgia) | Primary |
| Provider Name | Terrie Y Morton Acker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396898144 PECOS PAC ID: 1153301957 Enrollment ID: I20040804000300 |
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