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DR. KENNETH RAY SLADKIN MD
NPI 1447320049
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jacksonville, NC

Active since November 09, 2006PECOS Enrolled
192 VILLAGE DR, JACKSONVILLE, NC 28546(910) 577-1400 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Nov 16, 2023 (2 updates tracked since 2023).

About Dr. Kenneth Ray Sladkin Md NPPES

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

DR. KENNETH RAY SLADKIN MD (NPI 1447320049) is an individual child & adolescent psychiatry provider in Jacksonville, North Carolina, licensed in Florida (ME57376) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447320049
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KENNETH RAY SLADKINCredential: MD
Location Address192 VILLAGE DRJacksonville, NC 28546-7299
Mailing Address8132 King Helie BlvdNew Port Richey, FL 34653-1435 · (727) 834-3959 · Fax (727) 816-1964
Phone(910) 577-1400
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1447320049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME57376
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
192 VILLAGE DR, Jacksonville, NC 28546
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11163 Country Club RdMonongahela, PA 15063-1095 · Phone (724) 258-1000
Location 21603 Cottragewood DrBrandon, FL 33510-2816 · Phone (813) 381-3135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Ray Sladkin Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Sladkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Windmoor Healthcare Inc
569 mi
Psychiatric Hospital
11300 US 19 N
Clearwater, FL 33764
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1891888558 (727) 541-2646
Altru Health System
1,362 mi
General Acute Care Hospital
1200 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
NPI 1154346161 (701) 780-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

BRYNN MARR HOSPITAL, INC
Psychiatric Residential Treatment Facility
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
BRITTNEY MALYNN BOWMAN PMH-DNP
Nurse Practitioner (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
CYNTHIA JO WAUN LPC
Counselor (Professional)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
TONYA LEBLANC MSW, LCSWA
Social Worker (Clinical)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-2716
DRIYANNA LYNCH BSN, RN
Registered Nurse (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
BRYNN MARR HOSPITAL INC
Psychiatry & Neurology (Psychiatry)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
EMILY CHARLOTTE GABRIELLE WAUN NCC, LCMHCA
Counselor (Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
INSTITUTIONAL PHARMACY SOLUTIONS, LLC
Pharmacy (Institutional Pharmacy)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400

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 Kenneth Sladkin's NPI number?

The NPI number for Kenneth Sladkin is 1447320049. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Kenneth Sladkin located?

Kenneth Sladkin practices at 192 Village Dr, Jacksonville, NC 28546. The listed phone number is (910) 577-1400.

What is Kenneth Sladkin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kenneth Sladkin enrolled in Medicare?

Yes. Kenneth Sladkin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Sladkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Sladkin reassigns Medicare benefits to 2 organizations: Windmoor Healthcare Inc (Clearwater, FL) and Altru Health System (Grand Forks, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Sladkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Sladkin accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kenneth Sladkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Sladkin was last updated on February 8, 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.