Active NPI
Hew Health, LLC
- General Practice Physician
- Destin, FL
National Provider Identifier
1275321945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HEW HEALTH, LLC
- Practice address
- 4507 Furling LN Ste 104
Destin, FL 32541-5341 - Phone
- (854) 216-8289
- Fax
- (843) 944-6006
- NPI assigned
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Koucky
- Title
- Ceo
- Phone
- (850) 812-0032
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | |||
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | |||
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
4507 Furling LN Ste 104
Destin, FL 32541-5341
Mailing address
4507 Furling LN Ste 104
Destin, FL 32541-5341
Phone (854) 216-8289
National Provider Directory
National Provider DirectoryLocations
4507 Furling Ln
Ste 104
Destin, FL 32541
Phone (854) 216-8289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1275321945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4507 FURLING LN STE 104",
"city": "DESTIN",
"state": "FL",
"postal_code": "325415341",
"telephone_number": "854-216-8289",
"fax_number": "843-944-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4507 FURLING LN STE 104",
"city": "DESTIN",
"state": "FL",
"postal_code": "325415341",
"telephone_number": "854-216-8289",
"fax_number": "843-944-6006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEW HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-30",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "KOUCKY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-812-0032"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083T0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Medical Toxicology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.