NPIMap

Organization Active NPI

Kingdom Expressions Atl LLC

  • Community/Behavioral Health Agency
  • Fairburn, GA
National Provider Identifier
1013523885
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KINGDOM EXPRESSIONS ATL LLC
Doing business as
Kingdom Expressions ATL LLC
Practice address
101 W Campbellton St
Fairburn, GA 30213-1218
Phone
(888) 859-4202
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Mrs. Shakera McKenzieNPI 1184436040
Title
Ceo
Phone
(337) 508-9023

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
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 W Campbellton St
Fairburn, GA 30213-1218

Mailing address

101 W Campbellton St
Fairburn, GA 30213-1218
Phone (337) 508-9023

Other names 1

  • Kingdom Expressions ATL LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@thekeway.com Direct

National Provider Directory

National Provider Directory

Locations

101 W Campbellton St
Fairburn, GA 30213
Phone (888) 859-4202

Practitioners & affiliated clinicians

Practitioners 1

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": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1013523885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CAMPBELLTON ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131218",
            "telephone_number": "337-508-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CAMPBELLTON ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131218",
            "telephone_number": "888-859-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM EXPRESSIONS ATL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "SHAKERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-508-9023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@thekeway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 W Campbellton St",
            "city": "Fairburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302131218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kingdom Expressions ATL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.