Healthcare Provider Details

I. General information

NPI: 1952271777
Provider Name (Legal Business Name): REBECCA CATHERINE MACDONALD COVINGTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1168 FIRST COLONIAL RD
VIRGINIA BEACH VA
23454-2444
US

IV. Provider business mailing address

1033 CATON DR
VIRGINIA BEACH VA
23454-3105
US

V. Phone/Fax

Practice location:
  • Phone: 757-352-2030
  • Fax:
Mailing address:
  • Phone: 757-446-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0110012250
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: