Provider Demographics
NPI:1720139215
Name:COVINGTON, PHILIP WHIT (FNP)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:WHIT
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MOYE BLVD.
Mailing Address - Street 2:STE. A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2210 HEMBY LANE
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2801
Practice Address - Country:US
Practice Address - Phone:252-752-7133
Practice Address - Fax:252-752-6120
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8958755Medicaid
NC2592259Medicare ID - Type Unspecified
NCQ31258Medicare UPIN