Organization Active NPI

Kigga, LLC

  • Clinic/Center
  • Woodstock, GA
National Provider Identifier
1033723671
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIGGA, LLC
Practice address
310 Gold Creek TRL Ste 100
Woodstock, GA 30188-5436
Phone
(770) 637-6004
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Allison Kern
Title
Director of Operations
Phone
(772) 281-7682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

310 Gold Creek TRL Ste 100
Woodstock, GA 30188-5436

Mailing address

310 Gold Creek TRL Ste 100
Woodstock, GA 30188-5436

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Woodstock

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1033723671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRL STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRL STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885436",
            "telephone_number": "770-637-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIGGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "772-281-7682"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Woodstock",
            "affiliation": "N",
            "address_1": "310 Gold Creek Trl Ste 100",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301885436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.