Individual provider Active NPI

Remington Lee Nevin, MD, MPH, DRPH

  • Public Health & General Preventive Medicine Physician
  • Port Huron, MI
National Provider Identifier
1124057906
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
4301509878 Issued in MI
Practice address
C/O Eda of St Clair County
100 McMorran Blvd FL 5
Port Huron, MI 48060
Phone
(810) 276-1657
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 4301509878 MI
Public Health & General Preventive Medicine Physician 2083P0901X 4301509878 MI Primary

Addresses

Primary practice location

C/O Eda of St Clair County
100 McMorran Blvd FL 5
Port Huron, MI 48060

Mailing address

C/O Eda of St Clair County
100 McMorran Blvd FL 5
Port Huron, MI 48060-4021
Phone (810) 276-1657

Other practice location 1

St Clair County Health Department
3415 28TH St
Port Huron, MI 48060-6931
Phone (810) 987-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230928000999 MI Practitioner - Preventive Medicine 6901250737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Fort St
Port Huron, MI 48060-3850
Phone (810) 987-5300

3415 28TH St
Port Huron, MI 48060-6931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509878MIMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of St Clair CurrentSince Aug 31, 2023 Accepting new patients
Downriver Community Services Inc. Past Accepting new patients
St Clair County Health Department PastSince Jun 23, 2025 Accepting new patients

Locations

5200 Taft Rd
Clay, MI 48001
Phone (810) 794-4911

555 E Huron Blvd
Marysville, MI 48040

541 N Glassford St
Mussey, MI 48014

3415 28th St
Port Huron, MI 48060
Phone (810) 987-5300

2215 Court St
Port Huron, MI 48060
Phone (810) 987-1311

220 Fort St
Port Huron, MI 48060
Phone (810) 987-5300

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124057906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O EDA OF ST CLAIR COUNTY",
            "address_2": "100 MCMORRAN BLVD FL 5",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604021",
            "telephone_number": "810-276-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O EDA OF ST CLAIR COUNTY",
            "address_2": "100 MCMORRAN BLVD FL 5",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-276-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ST CLAIR COUNTY HEALTH DEPARTMENT",
            "address_2": "3415 28TH ST",
            "address_purpose": "LOCATION",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606931",
            "country_code": "US",
            "telephone_number": "810-987-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVIN",
        "first_name": "REMINGTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, DRPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301509878",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301509878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.