Organization Active NPI

Keeping People First Medical

  • Primary Care Clinic/Center
  • Stone Mountain, GA
National Provider Identifier
1730832940
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KEEPING PEOPLE FIRST MEDICAL
Practice address
4111 Tahoe CT
Stone Mountain, GA 30083-4453
Phone
(404) 663-4579
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Lakendra Walker, NPNPI 1821270893
Title
Family Nurse Practitioner
Phone
(404) 663-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4111 Tahoe CT
Stone Mountain, GA 30083-4453

Mailing address

4111 Tahoe CT
Stone Mountain, GA 30083-4453
Phone (404) 663-4579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414001353 GA Part B Supplier - Clinic/Group Practice 0749655223 Receives reassigned benefits from 1 practitioner
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1730832940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 TAHOE CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834453",
            "telephone_number": "404-663-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 TAHOE CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834453",
            "telephone_number": "404-663-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEPING PEOPLE FIRST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LAKENDRA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-663-4579",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.