Covenant Pediatrics, Pllc
Covenant Pediatrics, Pllc is a healthcare organization registered as Rural Health Clinic/Center in Athens, TN, holding Type 2 (organization) NPI 1659670412 since 2011. The authorized official on file is Omer Breeden, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659670412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Covenant Pediatrics, Pllc |
| Practice address | 421 OLD RICEVILLE RD STE 2, Athens, TN, 37303 |
| Phone | 4237448755 |
| Fax | 4237448568 |
| Enumeration date | 2011-03-19 |
| Last updated in NPPES | 2022-05-23 |
Authorized official
| Name | Omer Breeden |
|---|---|
| Title | Business Manager |
| Phone | 4237448755 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | MD19704 | TN |
Copy-ready billing details
Provider: Covenant Pediatrics, Pllc NPI: 1659670412 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 421 OLD RICEVILLE RD STE 2, Athens, TN, 37303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619920303 | Kimberly Breeden | Individual | Pediatrics Physician | Athens, TN |
| 1417190331 | Hari Mahefa Ratsimbason | Individual | Pediatrics Physician | Athens, TN |
| 1275764847 | Constance Cowherd | Individual | Pediatric Nurse Practitioner | Athens, TN |
| 1326271370 | Elizabeth Cruttenden | Individual | Pediatric Nurse Practitioner | Athens, TN |
| 1811368830 | Regena Shelton | Individual | Pediatric Nurse Practitioner | Athens, TN |
| 1942767264 | Simon Bessette | Individual | Physician Assistant | Athens, TN |
Verify this record
Cross-check NPI 1659670412 against the authoritative CMS record: view Covenant Pediatrics, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Covenant Pediatrics, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-23.