Active NPI
Estate Ventures, LLC
Doing business as McGreevy Neurohealth
- Pain Medicine Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME109028
- Legal business name
- ESTATE VENTURES, LLC
- Doing business as
- McGreevy Neurohealth
- Practice address
- 559 W Twincourt TRL
#607
St Augustine, FL 32095-8805 - Phone
- (904) 230-3006
- NPI assigned
- Apr 9, 2015
- Last updated
- Aug 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kai McGreevy, MD
- Title
- Owner
- Phone
- (904) 230-3006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME109028 | FL | |
| Pain Medicine Physician | 208VP0000X | ME109028 | FL | Primary |
Addresses
Primary practice location
559 W Twincourt TRL
#607
St Augustine, FL 32095-8805
Mailing address
559 W Twincourt TRL
#607
St Augustine, FL 32095-8805
Phone (904) 230-3006
Other names 1
- McGreevy Neurohealth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
559 W Twincourt Trl
Unit 607608
Saint Augustine, FL 32095
559 W Twincourt Trl
Unit 607
St Augustine, FL 32095
Phone (904) 230-3006
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- St Augustine, FL
- NPI 1922208610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439769600000",
"number": "1033505706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 W TWINCOURT TRL",
"address_2": "#607",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958805",
"telephone_number": "904-230-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W TWINCOURT TRL",
"address_2": "#607",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958805",
"telephone_number": "904-230-3006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTATE VENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-09",
"last_updated": "2015-08-17",
"status": "A",
"authorized_official_last_name": "MCGREEVY",
"authorized_official_first_name": "KAI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-230-3006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME109028",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME109028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McGreevy Neurohealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.