Paul King, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12763 Issued in MS

Practice address

9075 Sandidge Center Drive
Olive Branch, MS 38654

Phone

(662) 893-7101

Fax

(662) 895-4403

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Paul King MD PC

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1649362518
  Medicare reassignment NPD Authorized official
• Uhs of Parkwood Inc

  dba Parkwood Behavioral Health System

  • Psychiatric Hospital
  • Olive Branch, MS
  • NPI 1093785859
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1548423718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 PARKWOOD DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542111",
            "telephone_number": "901-216-4354",
            "fax_number": "888-858-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER DRIVE",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-893-7101",
            "fax_number": "662-895-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "12763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "00853276",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "00016134",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER",
            "identifier": "260000212",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Key, CST,CSFA
• Joyce Denice Kildow, PA-C
• Kathleen Elizabeth Kimball, PHARM. D.
• Mollie Jo Kinard, FNP-C
• Marcus Shannon King, PT ATC LAT
• Tiffany Shawna King, DDS
• Scott Wood Kirsch, MD
• Klepzig Smith Inc (Medicine Shoppe)
• Jana Klepzig, RPH
• Mike William Klepzig, RPH

• Psychiatry Physician in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.