OrganizationActive
Covenant Family Medicine
NPI 1962532085 · Family Medicine Physician · Dacula, GA
Provider details
- NPI number
- 1962532085
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Moon, Partner(678) 730-1620
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2098 Teron Trace Suite 150
Dacula, GA 30019
Phone: (678) 730-1620
Fax: (678) 730-0858
Street-level locationGet directions
Mailing address
2098 Teron Trace Suite 150
Dacula, GA 30019
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2010-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.