NPIMap

Individual provider Active NPI

Bernardine M. King, M.D.

  • Cardiovascular Disease Physician
  • Gainesville, GA
National Provider Identifier
1639145253
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042071 Issued in GA
Practice address
535 Jesse Jewell Parkway
Suite C
Gainesville, GA 30501
Phone
(770) 534-9014
Fax
(770) 534-9012
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042071 GA Primary

Addresses

Primary practice location

535 Jesse Jewell Parkway
Suite C
Gainesville, GA 30501

Mailing address

535 Jesse Jewell Parkway
Suite C
Gainesville, GA 30501
Phone (770) 534-9014

Other identifiers 2

IdentifierTypeStateIssuer
00735281AMedicaidGA
000735281GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001151 GA Practitioner - Cardiovascular Disease (Cardiology) 8820284029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Heart and Vascular Group PCGroup PAC ID 6507040409, 5 clinicians

Practice addresses (Care Compare)

535 Jesse Jewell Pkwy SE
Suite C
Gainesville, GA 30501-3772
Phone 77053490145645

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Gainesville, GA, CCN 117021
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041

Merit-based Incentive Payment System (MIPS)

Final score
94.31 of 100Reported as individual
Quality
89.57
Promoting interoperability
100
Improvement activities
40
Cost
84.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Heart and Vascular Group PC CurrentSince Mar 21, 2011 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Apr 4, 2001 Accepting new patients

Locations

705 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 531-9014

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

535 Jesse Jewell Pkwy SE
Ste C
Gainesville, GA 30501
Phone (770) 531-9014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7421/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bernardine.king.1@7421.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1639145253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PARKWAY",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PARKWAY",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BERNARDINE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "042071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00735281A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000735281G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.