KEVIN J WHEATLEY M.D.
NPI 1083632251
Family Medicine in Jackson, TN

Q: What is Kevin Wheatley's NPI number?

The NPI number for Kevin Wheatley is 1083632251. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Kevin Wheatley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wheatley was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 17, 2006

294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932(731) 410-0367 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kevin J Wheatley M.d. NPPES

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

KEVIN J WHEATLEY M.D. (NPI 1083632251) is an individual family medicine provider in Jackson, Tennessee, licensed in Tennessee (23819) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083632251

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN J WHEATLEYCredential: M.D.

Location Address294 SUMMAR DRJackson, TN 38301-3915

Mailing Address294 Summar DrJackson, TN 38301-3915 · (731) 423-1932 · Fax (731) 410-0367

Phone(731) 423-1932

Fax(731) 410-0367

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJanuary 27, 2011

✔ NPI 1083632251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 23819

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

294 SUMMAR DR, Jackson, TN 38301

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Other Identifiers 6

Medicare PIN3070786TN

Other4101274TN · Blue Cross Blue Shield

OtherP00264255Railroad Medicare

Other33916TN · Tlc

Medicare UPINF37413

Medicaid3070786TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN CRENSHAW MD

Student in an Organized Health Care Education/Training Program