Jason a. King, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002888 Issued in GA

Legal business name

JASON A. KING, PH.D., LLC

Practice address

2400 Lake Park Dr SE Ste 110
Smyrna, GA 30080-8979

Phone

(770) 933-4130

Fax

(770) 933-4135

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Jason Anthony King, PHDNPI 1215157169

Title

President

Phone

(770) 933-4130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason King, PH.D.

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1215157169

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Sabrina Hickle, PH.D.

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1205500535

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD
• Catherine Hilary Rogers, PH.D

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1174707756
  Medicare reassignment Care Compare group
• Miriam Shapiro, PHD

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1861877292
  Medicare reassignment NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1700980224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKE PARK DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808979",
            "telephone_number": "770-933-4130",
            "fax_number": "770-933-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKE PARK DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808979",
            "telephone_number": "770-933-4130",
            "fax_number": "770-933-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A. KING, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-933-4130",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crissie Latonja James, D.C.
• Sytira Jaleesa James
• Alessia Maria Jankowski, PHARMD
• Richard C Jarrell, MD
• Jarrett L. Manning, DDS, PC
• Hatinawedu Tina Jaya, OTR/L,MPH,CHT
• Brianna Nicole Jefferson
• Shellina R Jenkins, LPC
• Jennings W Bristol DDS PC
• Charay Jennings-Dover, M.D., PH.D.

• Clinical Psychologist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.