Active NPI
Richard W King Jr
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 31517
- Legal business name
- RICHARD W KING JR
- Practice address
- 2550 Windy Hill Rd SE
Suite 110
Marietta, GA 30067-8665 - Phone
- (678) 303-3200
- Fax
- (678) 303-3205
- NPI assigned
- Mar 7, 2008
- Last updated
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Reita King
- Title
- Part Owner
- Phone
- (678) 303-3200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 31517 | GA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 021872 | GA | |
| Rehabilitation Practitioner | 225400000X | GA021872 | GA |
Addresses
Primary practice location
2550 Windy Hill Rd SE
Suite 110
Marietta, GA 30067-8665
Mailing address
2550 Windy Hill Rd SE
Suite 110
Marietta, GA 30067-8665
Phone (678) 303-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1023874 | Richard W King Jr MD | Certificate of waiver | Mar 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Richard W King Jr MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Practitioner
- Lawrenceville, GA
- NPI 1154640209
Locations
500 Medical Center Blvd
Ste 100
Lawrenceville, GA 30046
Phone (770) 682-6000
500 Medical Center Blvd
Ste 170
Lawrenceville, GA 30046
Phone (678) 303-3200
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Marietta, GA
- NPI 1740259514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1083884803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WINDY HILL RD SE",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678665",
"telephone_number": "678-303-3200",
"fax_number": "678-303-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 WINDY HILL RD SE",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678665",
"telephone_number": "678-303-3200",
"fax_number": "678-303-3205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD W KING JR",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "REITA",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "678-303-3200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "GA",
"license": "31517",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "021872",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "GA",
"license": "GA021872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.