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KEVIN HEALEY DO
NPI 1043065485
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 19, 2024PECOS Enrolled
910 MADISON AVE SUITE 447, MEMPHIS, TN 38163(901) 448-1010(901) 448-1122 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Healey Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN HEALEY DO (NPI 1043065485) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043065485
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN HEALEYCredential: DO
Location Address910 MADISON AVE SUITE 447Memphis, TN 38163-3403
Mailing Address233 S Cove Terrace DrPanama City, FL 32401-4038 · (850) 896-7658
Phone(901) 448-1010
Fax(901) 448-1122
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1043065485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
910 MADISON AVE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Healey Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Healey's NPI number?

The NPI number for Kevin Healey is 1043065485. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Kevin Healey located?

Kevin Healey practices at 910 Madison Ave Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-1010.

What is Kevin Healey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Healey enrolled in Medicare?

Yes. Kevin Healey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Healey was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.