Austin Healy, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

5064367-1205 Issued in UT

Practice address

1240 E 100 S Ste 14
St George, UT 84790-3005

Phone

(435) 628-8232

Fax

(435) 674-7994

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jerry D Twiggs MD PC

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1578763702
  NPD (past)
• Night Light Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1295855914
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1104319409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-628-8232",
            "fax_number": "435-674-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-628-8232",
            "fax_number": "435-674-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "UT",
            "license": "5064367-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexiss Head
• Healing Space Counseling
• Health & Well-Being Kaleidoscope of Creative Healing
• Health Services Inc
• Healthstat on-Site Clinic/Milliken St. Georg
• Colson Healy, DO
• Hailey Heaps
• Jacob Cody Heaps
• Stacy S Heaps, CSW
• Heart of Dixie Cardiovascular Diagnostic

• Pediatric Adolescent Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Pediatric Adolescent Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.