Kingdom Cardiovascular Care and Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KINGDOM CARDIOVASCULAR CARE AND WELLNESS CENTER, LLC

Doing business as

Comprehensive Cardiovascular Care and Wellness

Practice address

6853 Douglas Blvd Ste C
Douglasville, GA 30135-7179

Phone

(336) 338-2019

NPI assigned

Mar 1, 2022

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Amanda McFarland, MDNPI 1134188493

Title

Owner

Phone

(336) 338-2019

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Cardiovascular Care and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Amanda McFarland, M.D.

  • Cardiovascular Disease Physician
  • Douglasville, GA
  • NPI 1134188493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1396491254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 328",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-785-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 DOUGLAS BLVD STE C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357179",
            "telephone_number": "336-338-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARDIOVASCULAR CARE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-338-2019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Cardiovascular Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Kimbrough
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• Valarie Evans King, FNP
• Kingdom Mobile Lab Services LLC
• Richard W. Kinsey, D.M.D.
• Jasmine Darniece Kirkland, FNP
• Mekayla Kirt
• Martha Kitchens, M.A.

• Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.