NPIMap

Organization Active NPI

McGreevy Neurohealth Palm Coast

  • Neurology Physician
  • Palm Coast, FL
National Provider Identifier
1043670532
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME109028 Issued in FL
Legal business name
MCGREEVY NEUROHEALTH PALM COAST
Practice address
80 Pinnacles Dr
Suite 700
Palm Coast, FL 32164-2323
Phone
(904) 230-3006
Fax
(904) 217-7114
NPI assigned
Feb 26, 2016
Organization subpart
Yes
Parent organization
MCGREEVY NEUROHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mr. Kai McGreevy, M.D.NPI 1922208610
Title
Owner/President
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME109028 FL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X ME109028 FL

Addresses

Primary practice location

80 Pinnacles Dr
Suite 700
Palm Coast, FL 32164-2323

Mailing address

559 W Twincourt TRL
Suite 607
St Augustine, FL 32095-8805
Phone (904) 230-3006

National Provider Directory

National Provider Directory
Part of
McGreevy Neurohealth Palm Coast

Locations

80 Pinnacles Dr
Ste 700
Palm Coast, FL 32164
Phone (386) 387-8500

57 Town Ct
Ste 123
Palm Coast, FL 32164
Phone (904) 230-3006

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1043670532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W TWINCOURT TRL",
            "address_2": "SUITE 607",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958805",
            "telephone_number": "904-230-3006",
            "fax_number": "904-217-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR",
            "address_2": "SUITE 700",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642323",
            "telephone_number": "904-230-3006",
            "fax_number": "904-217-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGREEVY NEUROHEALTH PALM COAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCGREEVY NEUROHEALTH",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "MCGREEVY",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-230-3006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME109028",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME109028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.