Active NPI
Stephen Mark King, M.D.
- Orthopaedic Surgery Physician
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 057874
- Practice address
- 400 Timms Rd NE
Calhoun, GA 30701-7016 - Phone
- (706) 602-3100
- Fax
- (706) 602-3101
- NPI assigned
- Jul 3, 2006
- Last updated
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 057874 | GA | Primary |
Addresses
Primary practice location
400 Timms Rd NE
Calhoun, GA 30701-7016
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179692697H | Medicaid | GA | |
| 179692697E | Medicaid | GA | |
| 179692697I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
106 Hospital Dr
Chatsworth, GA 30705-2070
168 Kinsley St
Suite 20
Nashua, NH 03060-3634
Phone (603) 883-3365
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone (706) 625-0022
610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000
Hospital & facility affiliations
- Adventhealth Home Health
- North Georgia Home Health Agency, an Amedysis Comp
- Washington County Regional Medical Center
- Adventhealth Gordon
- St Joseph Hospital
- Adventhealth Murray
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057874 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Hospital Authority of Washington County | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Hospital Authority of Washington County | Current | Accepting new patients | |
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Khawaja M. Rahman, M.D., Professional Association | Past | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
400 Timms Rd NE
Calhoun, GA 30701
Phone (706) 625-0022
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
4700 Battlefield Pkwy
Ste 320
Ringgold, GA 30736
Phone (706) 858-0580
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
168 Kinsley St
Ste 2
Nashua, NH 03060
Phone (603) 881-7100
168 Kinsley St
Ste 20
Nashua, NH 03060
Phone (603) 880-3541
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
Interoperability endpoints
- sking661767@adventhealth.direct-ci.com
Organizations & group practices 8
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.
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
dba Washington County Regional Medical Center
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
dba St Joseph Hospital Urgent Care
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
-
- Neurology Physician
- Nashua, NH
- NPI 1881877082
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Calhoun, GA
- NPI 1073555256
-
dba AdventHealth Murray
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
dba North Georgia Home Health Agency, an Amedisys Company
- Home Health Agency
- Ringgold, GA
- NPI 1548218290
-
dba Washington County Regional Medical Center
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
Hospital
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
dba St Joseph Hospital Urgent Care
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1609806165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30703",
"telephone_number": "706-602-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TIMMS RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307017016",
"telephone_number": "706-602-3100",
"fax_number": "706-602-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "STEPHEN",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "057874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179692697H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179692697E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179692697I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.