Kingdomway Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGDOMWAY MEDICAL INC

Doing business as

KingdomWay Medical

Practice address

103 Tivoli Gardens Rd
Peachtree City, GA 30269

Phone

(770) 742-0436

Fax

(770) 742-0356

NPI assigned

Jun 1, 2008

Organization subpart

No

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

Authorized official

Name

Hazel L Seay

Title

Ceo/President

Phone

(770) 742-0436

Specialties & licenses 1

Addresses

Other names 1

• KingdomWay Medical Doing business as

Locations

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1144488594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TIVOLI GARDENS RD",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691528",
            "telephone_number": "770-742-0436",
            "fax_number": "770-742-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TIVOLI GARDENS RD",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-742-0436",
            "fax_number": "770-742-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOMWAY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-742-0436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KingdomWay Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KingdomWay Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zia Khan, MD
• William Kilpela, DC
• Timothy P Kim, DMD
• Jeromy Jerell King
• Renee S King, FNP-C
• Kingdomway Medical Inc.
• Kirsten Miller LLC
• Jeffrey Micheal Knight, P.T.
• Courtney Knowlin
• Linsey Dixon Koda, LPC, NCC

• Durable Medical Equipment & Medical Supplies in Peachtree City, GA
• Providers in Peachtree City, 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 Jul 30, 2018; 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.