Organization Active NPI

Kma Healthcare, LLC

  • Clinical Medical Laboratory
  • Cumming, GA
National Provider Identifier
1568054450
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KMA HEALTHCARE, LLC
Practice address
110 Samaritan Dr Ste 205
Cumming, GA 30040-2569
Phone
(678) 456-8704
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Gianna BochicchioNPI 1174107718
Title
President, Managing Member
Phone
(678) 456-8704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

110 Samaritan Dr Ste 205
Cumming, GA 30040-2569

Mailing address

110 Samaritan Dr Ste 205
Cumming, GA 30040-2569
Phone (678) 989-6115

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

409 Atlanta Rd
Cumming, GA 30040
Phone (678) 456-8704

110 Samaritan Dr
Ste 205
Cumming, GA 30040
Phone (678) 456-8704

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1568054450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR STE 205",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402569",
            "telephone_number": "678-989-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR STE 205",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402569",
            "telephone_number": "678-456-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BOCHICCHIO",
        "authorized_official_first_name": "GIANNA",
        "authorized_official_title_or_position": "PRESIDENT, MANAGING MEMBER",
        "authorized_official_telephone_number": "678-456-8704"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.