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DEVON DURHAM DO
NPI 1821890724
Student in an Organized Health Care Education/Training Program in Trinity, FL

Active since March 24, 2025PECOS Enrolled
9330 STATE ROAD 54 STE 203, TRINITY, FL 34655(727) 834-4831 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Devon Durham Do NPPES

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

DEVON DURHAM DO (NPI 1821890724) is an individual student in an organized health care education/training program in Trinity, Florida, licensed in Florida (10653) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821890724
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEVON DURHAMCredential: DO
Location Address9330 STATE ROAD 54 STE 203Trinity, FL 34655-1808
Mailing Address9330 State Road 54 Ste 203Trinity, FL 34655-1808
Phone(727) 834-4831
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1821890724 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
License✔ Licensed in FL · 10653
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.
9330 STATE ROAD 54 STE 203, Trinity, FL 34655
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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)

Devon Durham Do 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.

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 Devon Durham's NPI number?

The NPI number for Devon Durham is 1821890724. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Devon Durham located?

Devon Durham practices at 9330 State Road 54 Ste 203, Trinity, FL 34655. The listed phone number is (727) 834-4831.

What is Devon Durham's specialty?

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

Is Devon Durham enrolled in Medicare?

Yes. Devon Durham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Devon Durham was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.