Kellie King, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15260 Issued in TX

Practice address

5211 FM 2920 Rd Ste 101
Spring, TX 77388-3004

Phone

(281) 783-8162

NPI assigned

Oct 30, 2018

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kellie McGrue Hawthorne Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Nluc PLLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1518209113
  Medicare reassignment Care Compare group NPD
• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment Care Compare group
• Next Level MV LLC

  • Urgent Care Clinic/Center
  • Pearland, TX
  • NPI 1013432285
  Medicare reassignment Care Compare group
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment
• Next Level MV LLC

  dba Next Level Urgent Care

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1073168746
  NPD
• Nluc PLLC

  dba Next Level Urgent Care-League City

  • Urgent Care Clinic/Center
  • League City, TX
  • NPI 1043814049
  NPD
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1245707090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BRIARPARK DR STE 575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 FM 2920 RD STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883004",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KELLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2072",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "MCGRUE HAWTHORNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kind and Gentle Care Group LLC
• Kindred Eyecare, P.C.
• Kinetic Plus, LTD (Kinetic Plus Rehab Clinic)
• King Wellness Institute
• Cynthia C King, MS, RDN, LD, CHES
• Nancia P King
• Kingdom First Medical Transportation LLC
• Kingdom First Medical Transportation LLC
• Brittany Kingston
• Kingwood Physical Therapy LTD (Spring-Klein Physical Therapy)

• Physician Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.