Active NPI
Leon King Sr.
- Non-emergency Medical Transport (VAN)
- Riverdale, GA
National Provider Identifier
1184928624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 3439
- Practice address
- 8511 Glenwoods Dr
Riverdale, GA 30274-4445 - Phone
- (404) 279-2150
- NPI assigned
- Dec 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 3439 | GA | Primary |
Addresses
Primary practice location
8511 Glenwoods Dr
Riverdale, GA 30274-4445
Mailing address
8511 Glenwoods Dr
Riverdale, GA 30274-4445
Phone (404) 279-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293148800000",
"number": "1184928624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 GLENWOODS DR",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302744445",
"telephone_number": "404-279-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8511 GLENWOODS DR",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302744445",
"telephone_number": "404-279-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LEON",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-24",
"last_updated": "2010-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": "3439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.