Kevin Seung Heo

Primary specialty

DentistTaxonomy code 122300000X

License

DN124197 Issued in GA

Practice address

881 James Madison Road
Kings Bay, GA 31547

Phone

(912) 573-8713

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1386566685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 COLERAIN RD APT 1023",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315582910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 JAMES MADISON ROAD",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "31547",
            "telephone_number": "912-573-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "KEVIN",
        "middle_name": "SEUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN124197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhupendra Kumar Gupta, MD
• Matthew Hall, M.D.
• Lily Swift Hallgring, PA-C
• Heather Ann Harrison, PH.D.
• Brett Binet Hart
• Jamie Lynn Hughes
• Keisha Perry Jackson, PMHNP
• Melissa Johnson
• Edward Vincent Kay
• Michael Dennis Lappi

• Dentist in Kings Bay, GA
• Providers in Kings Bay, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.