Active NPI
Richard W. King Jr, MD
- Rehabilitation Practitioner
- Lawrenceville, GA
National Provider Identifier
1154640209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 021872
- 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, MD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00875201A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Richard Wking Jr MD
- 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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Marietta, GA
- NPI 1083884803
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Marietta, GA
- NPI 1740259514
Rehabilitation Practitioner
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.