Individual provider Active NPI

Kellie King, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Marys, GA
National Provider Identifier
1568946150
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
280313 Issued in GA
Practice address
88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone
(912) 825-8488
Fax
(912) 341-6794
NPI assigned
Sep 19, 2018
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 280313 GA Primary

Addresses

Primary practice location

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725

Mailing address

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone (912) 825-8488

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
I20181211001639 GA Practitioner - Nurse Practitioner 2062756562 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden Behavioral Wellness, IncGroup PAC ID 1153679618, 5 clinicians
Family Matters of Coastal Georgia IncGroup PAC ID 9931505294, 3 clinicians

Practice addresses (Care Compare)

130 N Gross Rd
Kingsland, GA 31548-6262
Phone (912) 208-2055

88 Lindsey LN
Suite C
Saint Marys, GA 31558-1725
Phone (912) 825-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
280313GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Psychiatry Services LLC Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Family Matters of Coastal Georgia, Inc. CurrentSince Mar 26, 2022 Accepting new patients
Horizon Behavioral Health, P.C. CurrentSince Aug 20, 2018 Accepting new patients

Locations

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

130 N Gross Rd
Kingsland, GA 31548
Phone (912) 208-2055

605 Osborne St
Saint Marys, GA 31558
Phone (912) 398-7311

88 Lindsey Ln
Ste C
Saint Marys, GA 31558
Phone (912) 322-5791

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1568946150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-825-8488",
            "fax_number": "912-341-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-825-8488",
            "fax_number": "912-341-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KELLIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "280313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.