Kings Clinic and Urgent Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200001048 Issued in NC

Legal business name

KINGS CLINIC AND URGENT CARE PLLC

Practice address

407 W. King Street
Suite 20
Kings Mountain, NC 28086-3345

Phone

(704) 730-8461

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Temidayo Adesoji Adelekun, MDNPI 1962497537

Title

Member

Phone

(704) 730-8461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12246/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temidayo A Adelekun, MD

  • Internal Medicine Physician
  • Kings Mountain, NC
  • NPI 1962497537
  Medicare reassignment NPD Authorized official
• Georgina Ramsey, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Shelby, NC
  • NPI 1952648677
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1194875765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W. KING STREET",
            "address_2": "SUITE 20",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863345",
            "telephone_number": "704-730-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W. KING STREET",
            "address_2": "SUITE 20",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863345",
            "telephone_number": "704-730-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS CLINIC AND URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ADELEKUN",
        "authorized_official_first_name": "TEMIDAYO",
        "authorized_official_middle_name": "ADESOJI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-730-8461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200001048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter S. Jeon, DO
• Carol Weaver Johnson, MS. RDN, LDN
• Keith Clinic Estramonte Chiropractic Kings Mountain PA
• Sandra Kay Key, LMBT
• Margaret Kidder, CRNA
• Kings Mountain Care Center Inc.
• Kings Mountain Memory Care Center
• Kings Mountain Pediatric Clinic
• Kings Mountain Physical Therapy
• Emily Parrish Kinley

• Family Medicine Physician in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Family Medicine Physician in North Carolina

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