Diane Green King, ATC, RD, CSSD

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

111 Issued in GA

Practice address

410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066

Phone

(404) 354-0008

NPI assigned

Feb 23, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/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.

• Randy B Cronic, M.D. PC

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1366658692
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1235105032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 RHODES HOUSE CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246472",
            "telephone_number": "770-831-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY",
            "address_2": "SUITE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417066",
            "telephone_number": "404-354-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DIANE",
        "middle_name": "GREEN",
        "credential": "ATC, RD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Kim, O. D.
• Kimberley a Linert, Inc
• Bambi Lynn Kimmes, RN, BSN
• Patrick Cody Kindregan, DO
• Ada Marie Villinger King
• Ginger King, CADCII
• Gregory King, D.C.
• Hayley M. King, MA, LPC, NCC
• Megan Kinney, NP
• Michael Masood Kiyani, DMD

• Athletic Trainer in Cumming, GA
• Providers in Cumming, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.