Individual provider Active NPI

Michael King

  • Psychiatric/Mental Health Nurse Practitioner
  • New Church, VA
National Provider Identifier
1699545848
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024189522 Issued in VA
Practice address
5219 Lankford Hwy
New Church, VA 23415-3332
Phone
(757) 824-5676
Fax
(757) 414-0569
NPI assigned
Jan 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189522 VA Primary

Addresses

Primary practice location

5219 Lankford Hwy
New Church, VA 23415-3332

Mailing address

20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400

Other practice location 1

17068 Lankford Hwy
Eastville, VA 23347
Phone (757) 414-0400

Other practice location 2

25228 Lankford Highway
Onley, VA 23418
Phone (757) 414-0400

Other practice location 3

20306 Badger Ln
Onancock, VA 23417-1224
Phone (757) 414-0400

Other practice location 4

560 Riverside Dr Ste A106
Salisbury, MD 21801-4702
Phone (443) 972-4204

Other practice location 5

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 414-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240506001667 MD Practitioner - Nurse Practitioner 5193165298 Reassigns benefits to 1 organization
I20240508002497 VA Practitioner - Nurse Practitioner 5193165298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailwinds Medical, LLCGroup PAC ID 6901271717, 7 clinicians

Practice addresses (Care Compare)

1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone (443) 972-4204

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 824-5676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024189522VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated CurrentSince Feb 19, 2024 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Feb 19, 2024 Accepting new patients
Sailwinds Medical, LLC CurrentSince May 1, 2024 Accepting new patients
Eastern Shore Rural Health System Incorporated. Past Accepting new patients

Locations

1000 Goodwill Ave
Cambridge, MD 21613
Phone (443) 972-4204

560 Riverside Dr
#A103A106
Salisbury, MD 21801

560 Riverside Dr
Salisbury, MD 21801
Phone (410) 546-9552

560 Riverside Dr
Ste A106
Salisbury, MD 21801
Phone (410) 912-3616

4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676

20280 Market St
Onancock, VA 23417
Phone (757) 787-7374

20306 Badger Ln
Onancock, VA 23417
Phone (757) 302-9066

25228 Lankford Hwy
Onley, VA 23418
Phone (757) 414-0500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1699545848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 LANKFORD HWY",
            "city": "NEW CHURCH",
            "state": "VA",
            "postal_code": "234153332",
            "telephone_number": "757-824-5676",
            "fax_number": "757-414-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17068 Lankford Hwy",
            "address_purpose": "LOCATION",
            "city": "Eastville",
            "state": "VA",
            "postal_code": "23347",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25228 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20306 Badger Ln",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234171224",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Riverside Dr Ste A106",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014702",
            "country_code": "US",
            "telephone_number": "443-972-4204",
            "fax_number": "410-912-5629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4049 Main St",
            "address_purpose": "LOCATION",
            "city": "Chincoteague",
            "state": "VA",
            "postal_code": "233362406",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Church, VA

Sources for this page

Verify at the official NPI Registry.