Individual provider Active NPI

Jennifer Killion Overbey, MD

  • Pediatrics Physician
  • Gahanna, OH
National Provider Identifier
1043246523
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.082460 Issued in OH
Practice address
1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563
Phone
(614) 741-8300
Fax
(614) 741-8271
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.082460 OH Primary

Addresses

Primary practice location

1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563

Mailing address

1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563
Phone (614) 741-8300

Other identifiers 1

IdentifierTypeStateIssuer
2462124MedicaidOH

Other names 1

  • Jennifer D Killion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601001467 OH Practitioner - Pediatric Medicine 3577545854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Dec 6, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1085 Beecher Xing N
Ste A
Gahanna, OH 43230
Phone (614) 741-8300

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: joverbey19098@copcp.medicity.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1043246523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304563",
            "telephone_number": "614-741-8300",
            "fax_number": "614-741-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304563",
            "telephone_number": "614-741-8300",
            "fax_number": "614-741-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBEY",
        "first_name": "JENNIFER",
        "middle_name": "KILLION",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.082460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KILLION",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.