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

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: July 26, 2026.

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
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

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.

Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301

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 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.

Where is Kevin Wheatley located?

Kevin Wheatley practices at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Kevin Wheatley's specialty?

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

When was this NPI record last updated?

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