DR. JOEY REYNOLD LICAJ MD
NPI 1619661287
Student in an Organized Health Care Education/Training Program in Nashville, TN
About Dr. Joey Reynold Licaj Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOEY REYNOLD LICAJ MD (NPI 1619661287) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Joey Reynold Licaj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 Joey Licaj's NPI number?
The NPI number for Joey Licaj is 1619661287. It was assigned to this individual provider in the NPPES registry on June 6, 2023.
Where is Joey Licaj located?
Joey Licaj practices at 1211 Medical Center Dr, Nashville, TN 37232. The listed phone number is (615) 322-5000.
What is Joey Licaj's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Joey Licaj enrolled in Medicare?
Yes. Joey Licaj is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Joey Licaj was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Joey Reynold Licaj, MD · NPI 1619661287
Student in an Organized Health Care Education/Training Program provider in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since June 6, 2023.
## Identity
- **NPI:** 1619661287 (Entity type: Individual)
- **Enumerated:** June 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1211 MEDICAL CENTER DR, Nashville, TN 37232-0004
- **Phone:** (615) 322-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 6, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1619661287) · Data from the CMS NPPES public registry.