Provider Demographics
NPI:1427058130
Name:COVINGTON, DONALD SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SCOTT
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MARGARET ST STE 302-187
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3868
Mailing Address - Country:US
Mailing Address - Phone:919-417-1980
Mailing Address - Fax:904-281-9806
Practice Address - Street 1:1 SHIRCLIFF WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4748
Practice Address - Country:US
Practice Address - Phone:352-250-2650
Practice Address - Fax:904-281-9806
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1148872083P0011X
FLME14887208600000X
NC95-00541208600000X, 208G00000X
FLME114887208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009556500Medicaid
FL009556500Medicaid
NC24552OtherBCBS-NC
FLHN912ZMedicare PIN
NC2211174AMedicare PIN
NC8924552Medicaid