Individual provider Active NPI

Stephen Mark King, M.D.

  • Orthopaedic Surgery Physician
  • Calhoun, GA
National Provider Identifier
1609806165
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
057874 Issued in GA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
179692697HMedicaidGA
179692697EMedicaidGA
179692697IMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061116000074 GA Practitioner - Orthopedic Surgery 4789682345 Reassigns benefits to 3 organizations
I20200623001436 NH Practitioner - Orthopedic Surgery 4789682345 Reassigns benefits to 1 organization

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
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
057874GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Current Accepting new patients
Hospital Authority of Washington County CurrentSince Feb 1, 2026 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 1, 2023 Accepting new patients
Hospital Authority of Washington County CurrentSince Feb 1, 2026 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Sep 1, 2009 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Feb 1, 2026 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Feb 1, 2026 Accepting new patients
Khawaja M. Rahman, M.D., Professional Association PastSince Jul 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.