K9 & Equine Wellness Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

K9 & EQUINE WELLNESS INCORPORATED

Practice address

4075 Macland Rd
Powder Springs, GA 30127-1504

Phone

(770) 530-0174

Fax

(770) 264-0098

NPI assigned

Jan 14, 2025

Organization subpart

Yes

Parent organization

K9 & EQUINE WELLNESS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Kimberly A Tapp, MS

Title

President

Phone

(770) 530-0174

Specialties & licenses 3

Addresses

Part of

K9 Equine Wellness Incorporated

Locations

Practitioners 2

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

• Cynthia Joy Blocksidge, LCSW

  • Clinical Social Worker
  • Powder Springs, GA
  • NPI 1376331736
  NPD
• Cindy McLendon Milligan, CNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1427424928
  NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1487465159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 MACLAND RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271504",
            "telephone_number": "770-530-0174",
            "fax_number": "770-264-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MACLAND RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271504",
            "telephone_number": "770-530-0174",
            "fax_number": "770-264-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K9 & EQUINE WELLNESS INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K9 & EQUINE WELLNESS INCORPORATED",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-530-0174",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.