Individual provider Active NPI

Megan King, D.O.

  • Family Medicine Physician
  • Jefferson City, MO
National Provider Identifier
1649597667
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013023001 Issued in MO
Practice address
1511 Christy Dr
Jefferson City, MO 65101-2854
Phone
(573) 632-2777
Fax
(573) 632-2769
NPI assigned
Apr 30, 2010
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2013023001 MO Primary

Addresses

Primary practice location

1511 Christy Dr
Jefferson City, MO 65101-2854

Mailing address

1405 Stablestone LN
Columbia, MO 65201-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140219000363 MO Practitioner - Family Practice 5597994442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2006
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1511 Christy Dr
Jefferson City, MO 65101-2854
Phone (573) 632-2777

561 Commons Dr
Fulton, MO 65251-1408
Phone (573) 826-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Ctr of Central Missouri Family Medicine CurrentSince Dec 17, 2013 Accepting new patients
Community Health Ctr of Central Missouri Family Medicine CurrentSince Dec 17, 2013 Accepting new patients
Community Health Ctr of Central Missouri Past Accepting new patients

Locations

606 E Buchanan St
California, MO 65018
Phone (573) 796-3600

561 Commons Dr
Fulton, MO 65251
Phone (573) 826-2700

1511 Christy Dr
Jefferson Cty, MO 65101

3400 W Truman Blvd
Jefferson Cty, MO 65109
Phone (573) 636-2181

Interoperability endpoints

  • Direct secure messaging: megan.king.p1@direct.chccmo.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1649597667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 STABLESTONE LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CHRISTY DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012854",
            "telephone_number": "573-632-2777",
            "fax_number": "573-632-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MEGAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013023001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.