Individual provider Active NPI

Kayla Dawn Handy, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Champions Gate, FL
National Provider Identifier
1154717262
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
ME149167 Issued in FL
Practice address
1491 Legends Blvd
Champions Gate, FL 33896-8393
Phone
(407) 966-1480
Fax
(407) 966-1481
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2019-00778 NC
Neurology Physician 2084N0400X 61541 TN
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME149167 FL Primary

Addresses

Primary practice location

1491 Legends Blvd
Champions Gate, FL 33896-8393

Mailing address

1491 Legends Blvd
Champions Gate, FL 33896-8393
Phone (407) 966-1480

Other practice location 1

3950 New Covington Pike Ste 270
Memphis, TN 38128-2593
Phone (901) 261-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210610000292 FL Practitioner - Neurology 4284942483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1530 Celebration Blvd
Suite 101
Celebration, FL 34747-5165
Phone (407) 303-7280

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149167FLMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
2019-00778NCMDNeurology Physician
61541TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jun 21, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 21, 2021 Accepting new patients
Florida Hospital Physician Group Inc Neurology Past Accepting new patients

Locations

201 N Park Ave
Ste 301
Apopka, FL 32703
Phone (407) 303-2801

1530 Celebration Blvd
Ste 304
Celebration, FL 34747
Phone (407) 966-1480

1491 Legends Blvd
Champions Gate, FL 33896
Phone (352) 843-5723

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

265 E Rollins St
Ste 6
Orlando, FL 32804
Phone (407) 303-6729

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: khandy73709@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1154717262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 LEGENDS BLVD",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968393",
            "telephone_number": "407-966-1480",
            "fax_number": "407-966-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 LEGENDS BLVD",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968393",
            "telephone_number": "407-966-1480",
            "fax_number": "407-966-1481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 New Covington Pike Ste 270",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282593",
            "country_code": "US",
            "telephone_number": "901-261-3500",
            "fax_number": "901-624-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDY",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2019-00778",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "61541",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME149167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champions Gate, FL

Sources for this page

Verify at the official NPI Registry.