King's Primary Care & Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KING'S PRIMARY CARE & WELLNESS

Practice address

4760 Austell Rd
5
Austell, GA 30106-2007

Phone

(678) 398-1360

Fax

(678) 398-1362

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Kwana King, MA

Title

Owner

Phone

(678) 398-1360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1720408255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 AUSTELL RD",
            "address_2": "5",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062007",
            "telephone_number": "678-398-1360",
            "fax_number": "678-398-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 AUSTELL RD",
            "address_2": "5",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062007",
            "telephone_number": "678-398-1360",
            "fax_number": "678-398-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S PRIMARY CARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KWANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-398-1360",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeel A Khan, MD
• Anshika Payal Khare, MD
• Agnes Kim, PT, DPT
• Daisy Melinda King-Godineaux, FNP
• Jacob King
• Kingfishing Inc (Kingfishing Home Care)
• Alan Thomas Kippeny, PA-C
• Susan H Kirby, NP-C
• Morgan Kirk, PA-C
• Meghan R Kirkland, PA

• Primary Care Clinic/Center in Austell, GA
• Providers in Austell, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.