KVON BIN SHAKIL
NPI 1740957745
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Q: What is Kvon Shakil's NPI number?

The NPI number for Kvon Shakil is 1740957745. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Q: What is Kvon Shakil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kvon Shakil was last updated on March 28, 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.

Active since August 26, 2021PECOS Enrolled

1439 JESSE JEWELL PKWY NE STE 301, GAINESVILLE, GA 30501(770) 219-0023 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Aug 26, 2021 (2 updates tracked since 2021).

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About Kvon Bin Shakil NPPES

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

KVON BIN SHAKIL (NPI 1740957745) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740957745

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKVON BIN SHAKIL

Location Address1439 JESSE JEWELL PKWY NE STE 301Gainesville, GA 30501-3806

Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730

Phone(770) 219-0023

Sole ProprietorNo

Enumeration DateAugust 26, 2021

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1740957745 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.

1439 JESSE JEWELL PKWY NE STE 301, Gainesville, GA 30501

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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)

Kvon Bin Shakil 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.

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.

JENA MILLWOOD DNP

Nurse Practitioner (Acute Care)