OrganizationActive
Covenant Family Allergy, PC
NPI 1205002888 · Allergy & Immunology Physician · North Augusta, SC
Provider details
- NPI number
- 1205002888
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Clark, Physician/Owner(803) 441-8648
- License
- 28227 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
616 Edgefield Rd
Suite 180
North Augusta, SC 29841-1938
Phone: (803) 279-7666
Fax: (803) 279-0708
Street-level locationGet directions
Mailing address
616 Edgefield Rd
North Augusta, SC 29841-1938
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2013-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.