Organization Active NPI

Richard W. King Jr, MD

  • Rehabilitation Practitioner
  • Lawrenceville, GA
National Provider Identifier
1154640209
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
021872 Issued in GA
Legal business name
RICHARD W. KING JR, MD
Practice address
500 Medical Center Blvd
Suite 170
Lawrenceville, GA 30046-8708
Phone
(678) 303-3200
Fax
(678) 303-3205
NPI assigned
May 27, 2010
Organization subpart
Yes
Parent organization
RICHARD W. KING JR, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Elizabeth R Lewis
Title
Reimbursement Director
Phone
(678) 303-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X 021872 GA Primary

Addresses

Primary practice location

500 Medical Center Blvd
Suite 170
Lawrenceville, GA 30046-8708

Mailing address

2550 Windy Hill Rd SE
Suite 110
Marietta, GA 30067-8665
Phone (678) 303-3200

Other identifiers 1

IdentifierTypeStateIssuer
00875201AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Richard Wking Jr MD2 organizations share this tax ID, including this one
Part of
Richard Wking Jr MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1154640209",
    "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": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 170",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468708",
            "telephone_number": "678-303-3200",
            "fax_number": "678-303-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. KING JR, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD W. KING JR, MD",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REIMBURSEMENT DIRECTOR",
        "authorized_official_telephone_number": "678-303-3200"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "GA",
            "license": "021872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875201A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.