Individual provider Active NPI

Valarie Evans King, FNP

  • Family Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1336926823
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN254961 Issued in GA
Practice address
6031 Fairburn Road
Douglasville, GA 30134
Phone
(770) 942-9214
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN254961 GA Primary

Addresses

Primary practice location

6031 Fairburn Road
Douglasville, GA 30134

Mailing address

6031 Fairburn Road
Douglasville, GA 30134
Phone (770) 942-9214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240312002501 GA Practitioner - Nurse Practitioner 8123464252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

100 Greystone Power Blvd
Dallas, GA 30157-0908
Phone (770) 943-7877

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN254961GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Nurse Practitioner CurrentSince Mar 2, 2026 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 29, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 29, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 2, 2026 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Mar 2, 2026 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Mar 2, 2026 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

8855 Hospital Dr
Ste 150
Douglasville, GA 30134
Phone (678) 838-4443

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1336926823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 FAIRBURN ROAD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-942-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 FAIRBURN ROAD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-942-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "VALARIE",
        "middle_name": "EVANS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.