Kejac Ventures, Pllc,
Kejac Ventures, Pllc, is a healthcare organization registered as Clinic/Center in Collierville, TN, holding Type 2 (organization) NPI 1700779519 since 2025. The authorized official on file is Leellon Martin, Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700779519 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kejac Ventures, Pllc, |
| Practice address | 9390 MAYFIELD RD S, Collierville, TN, 38017 |
| Phone | 9018494108 |
| Enumeration date | 2025-05-30 |
| Last updated in NPPES | 2025-05-30 |
Authorized official
| Name | Leellon Martin |
|---|---|
| Title | Nurse Practitioner |
| Phone | 9018494108 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Kejac Ventures, Pllc, NPI: 1700779519 Taxonomy: 261Q00000X (Clinic/Center) Address: 9390 MAYFIELD RD S, Collierville, TN, 38017
Verify this record
Cross-check NPI 1700779519 against the authoritative CMS record: view Kejac Ventures, Pllc, on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Kejac Ventures, Pllc,?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-30.