Lisa King, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45295 Issued in KY

Practice address

5100 Outer Loop
Louisville, KY 40219-4056

Phone

(502) 968-6226

Fax

(502) 966-5562

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D.W. McMillan Memorial HospitalGroup PAC ID 3072558378, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D.W. McMillan Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Brewton, AL
  • NPI 1679196927
  Medicare reassignment Care Compare group NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303

  Family Medicine

  Medicare reassignment NPD
• Healthcare Connections NP, LLC

  • Adult Health Nurse Practitioner
  • Mobile, AL
  • NPI 1861177669
  Medicare reassignment NPD
• Brewton Medical Center, LLC

  • Family Medicine Physician
  • Brewton, AL
  • NPI 1336196856
  NPD
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821

  Family Medicine

  NPD
• D.W. McMillan Memorial Hospital

  • Rural Health Clinic/Center
  • Flomaton, AL
  • NPI 1497852735
  NPD (past)
• Physicians Group of Southeastern Ohio Inc

  • Internal Medicine Physician
  • Zanesville, OH
  • NPI 1528177730

  Family Medicine

  NPD (past)
• Santa Rosa Hma Physician Management LLC

  • Family Medicine Physician
  • Pace, FL
  • NPI 1043880347
  NPD (past)
• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366
  NPD (past)
• South Zanesville Family Medical Center, Inc

  • Family Medicine Physician
  • Zanesville, OH
  • NPI 1366558942
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• D. W. McMillan Memorial Hospital

  • General Acute Care Hospital
  • Brewton, AL
  • NPI 1609811538
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1164439451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-968-6226",
            "fax_number": "502-966-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402194056",
            "telephone_number": "502-968-6226",
            "fax_number": "502-966-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100203510",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731509-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily M King, ARNP
• Heather King, MSN, APRN, PMHNP-BC
• Jean A. King, MSSW, LCSW
• Jennifer Bohnert King, MS, OTR/L
• Kara King, APRN
• Michelle King, M.S., CCC-A
• Michelle Lynn King, APRN
• Paul Edward King, DMD
• Rachel D King, MD
• Rochelle King, LCSW

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.