Kingdomcare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGDOMCARE LLC

Practice address

19459 US Highway 19 N
Thomasville, GA 31792-9074

Phone

(229) 225-3513

Fax

(866) 750-3051

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Nick Lewis

Title

President

Phone

(229) 225-3513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1104112200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19459 US HIGHWAY 19 N",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317929074",
            "telephone_number": "229-225-3513",
            "fax_number": "866-750-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19459 US HIGHWAY 19 N",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317929074",
            "telephone_number": "229-225-3513",
            "fax_number": "866-750-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOMCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-225-3513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ali Niaz Khan, MBBS
• Orooj Bakht Khan, MD
• Shoaib Khan
• Ethan Kim, MD
• Brian Joseph Kimrey
• Ross Alan Kurland Jr., DO
• Rachael Clark Lackey, ARNP
• Ashley Lamb, M.ED.
• Stephanie Michelle Land, LDO
• Morgan Lane, MD

• Durable Medical Equipment & Medical Supplies in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.