DR. JEVAUGHN HENRY DO
NPI 1952104606
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 28, 2025PECOS Enrolled
743 SPRING STREET, GAINESVILLE, GA 30501(770) 219-1200 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jevaughn Henry Do NPPES

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

DR. JEVAUGHN HENRY DO (NPI 1952104606) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952104606
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEVAUGHN HENRYCredential: DO
Location Address743 SPRING STREETGainesville, GA 30501
Mailing Address743 Spring StreetGainesville, GA 30501 · (770) 219-1200
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1952104606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

743 SPRING STREET, Gainesville, GA 30501

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. Jevaughn Henry 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.

Other Providers at the Same Location NPPES 8

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

Internal Medicine
743 SPRING STREET
GAINESVILLE, GA 30501
Hospitalist
743 SPRING STREET
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING STREET
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING STREET, SUITE 710
GAINESVILLE, GA 30501
Internal Medicine
743 SPRING STREET, SUITE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING STREET
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING STREET
GAINESVILLE, GA 30501
Internal Medicine
743 SPRING STREET, SUITE 710
GAINESVILLE, GA 30501

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 Jevaughn Henry's NPI number?

The NPI number for Jevaughn Henry is 1952104606. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Jevaughn Henry located?

Jevaughn Henry practices at 743 Spring Street, Gainesville, GA 30501. The listed phone number is (770) 219-1200.

What is Jevaughn Henry's specialty?

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

Is Jevaughn Henry enrolled in Medicare?

Yes. Jevaughn Henry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jevaughn Henry was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.