KCP Enterprises LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KCP ENTERPRISES LLC

Practice address

203 Woodpark PL BLDG B
Woodstock, GA 30188-3705

Phone

(678) 987-5411

NPI assigned

Dec 15, 2020

Organization subpart

Yes

Parent organization

KCP ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Emma C Cull

Title

Ceo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

Other names 1

• Elite Medical and Rehab Doing business as

Tax ID family

KCP Enterprises LLC3 organizations share this tax ID, including this one

Part of

KCP Enterprises LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• KCP Enterprises

  • Physical Medicine & Rehabilitation Physician
  • Morrow, GA
  • NPI 1043679418
  NPD tax ID
• KCP Enterprises LLC

  • Physical Medicine & Rehabilitation Physician
  • Sandy Springs, GA
  • NPI 1790602480
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• KCP Enterprises LLC

  • Physical Medicine & Rehabilitation Physician
  • Sandy Springs, GA
  • NPI 1790602480
  NPPES parent name

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1689260580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SOUTHLAKE PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604153",
            "telephone_number": "470-878-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL BLDG B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883705",
            "telephone_number": "678-987-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCP ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCP ENTERPRISES LLC",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Medical and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Medical and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nance C Karr, FNP-C
• Farrah Kasemkhani
• Elizabeth Katirai
• Katopes & Associates, PC
• Michael G Katopes, M.D.
• Anita E Keener, M.ED., CCC-SLP
• Steven J Keith, O.D.
• Joseph M Keller
• Kelly a. Vaughn
• Bailey Olivia Kelly, PHARMD

• Physical Medicine & Rehabilitation Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.