NPIMap

Individual provider Active NPI

Eugene Kevin O'Hea, M.D.

  • Family Medicine Physician
  • Lucedale, MS
National Provider Identifier
1285747089
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14808 Issued in MS
Practice address
697 Manila St
Lucedale, MS 39452-6505
Phone
(601) 947-3377
Fax
(601) 947-3380
NPI assigned
Aug 16, 2006
Reactivated
Sep 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14808 MS 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 practice location 1

1434 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6700

Other identifiers 4

IdentifierTypeStateIssuer
0117316MedicaidMS
010056457OtherMSPALMETTO GBA MEDICARE
C00960OtherMSMEDICARE CAHABA
CN0018OtherMSPALMETTO RAILROAD GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000468 MS Practitioner - General PracticePractitioner - Family Practice 5193868792 Practice locations: Lucedale, MS

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Enhabit Home Health of the Gulf Coast Home health agency, Gulfport, MS, CCN 257111
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14808MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Kevin Ohea MD General Family Practice LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Community Medical Center Family Medicine Current Accepting new patients
Eugene Kevin Ohea Dr E Kevin Ohea Family Medicine CurrentSince Apr 25, 2016 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Inpatient Physician Services Past Accepting new patients

Locations

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 5

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 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1285747089",
    "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": "601-947-3380"
        },
        {
            "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": [
        {
            "address_1": "1434 Central Ave E",
            "address_purpose": "LOCATION",
            "city": "Wiggins",
            "state": "MS",
            "postal_code": "395779602",
            "country_code": "US",
            "telephone_number": "601-928-6700",
            "fax_number": "601-928-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HEA",
        "first_name": "EUGENE",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-10-17",
        "deactivation_date": "2019-09-13",
        "reactivation_date": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "14808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117316",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "010056457",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CAHABA",
            "identifier": "C00960",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD GROUP",
            "identifier": "CN0018",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.