Organization Active NPI

Eugene Kevin Ohea Dr E Kevin Ohea

Doing business as E. Kevin O'Hea MD Family Practice

  • Family Medicine Physician
  • Lucedale, MS
National Provider Identifier
1184136962
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EUGENE KEVIN OHEA DR E KEVIN OHEA
Doing business as
E. Kevin O'Hea MD Family Practice
OHea Family Practice
Practice address
697 Manila St
Lucedale, MS 39452-6505
Phone
(601) 947-3377
Fax
(601) 947-3380
NPI assigned
Nov 1, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Yolanda Patrice Long, FNP-BCNPI 1912302159
Title
Ceo/FNP BC
Phone
(228) 205-4592

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

697 Manila St
Lucedale, MS 39452-6505

Mailing address

697 Manila St
Lucedale, MS 39452-6505
Phone (601) 947-3377

Other identifiers 2

IdentifierTypeStateIssuer
00117316MedicaidMS
000077717MedicaidMS

Other names 2

  • E. Kevin O'Hea MD Family Practice Doing business as
  • OHea Family Practice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2110361Dr E Kevin O'Hea697 Manila St, Lucedale, MS 39452Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

697 Manila St
Lucedale, MS 39452
Phone (601) 947-3377

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1184136962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MANILA ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526505",
            "telephone_number": "601-947-3377",
            "fax_number": "601-891-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MANILA ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526505",
            "telephone_number": "601-947-3377",
            "fax_number": "601-947-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE KEVIN OHEA DR E KEVIN OHEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CEO/FNP BC",
        "authorized_official_telephone_number": "228-205-4592",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117316",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000077717",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E. Kevin O'Hea MD Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "E. Kevin O'Hea MD Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHea Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.