Individual provider Active NPI

Carla L King, MD

  • Pediatrics Physician
  • Saluda, VA
National Provider Identifier
1851362370
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101233490 Issued in VA
Practice address
3076 General Puller Highway
Saluda, VA 23149
Phone
(804) 370-6660
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101233490 VA Primary

Addresses

Primary practice location

3076 General Puller Highway
Saluda, VA 23149

Mailing address

PO Box 1233
Saluda, VA 23149-1233
Phone (804) 370-6660

Other practice location 1

719 N 25th St
Richmond, VA 23223-6539
Phone (804) 780-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050223000468 VA Practitioner - Pediatric Medicine 1951354539 Reassigns benefits to 2 organizations
I20160329000132 DC Practitioner - Pediatric Medicine 1951354539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 25, 2019 Accepting new patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Jul 10, 2019 Accepting new patients
Inspire Primary Care PLLC CurrentSince Jun 4, 2023 Accepting new patients
Out of the Box Medical, LLC Pediatrics CurrentSince May 25, 2021 Accepting new patients
NP.4Hire, LLC PastSince Oct 1, 2020 Accepting new patients
Vernon J Harris East End Community Health Center Past Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

4823 S Laburnum Ave
Ste B
Richmond, VA 23231
Phone (804) 277-9631

Interoperability endpoints

  • Direct secure messaging: carla.king.1@6906.direct.athenahealth.com

Organizations & group practices 7

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1851362370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231491233",
            "telephone_number": "804-370-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 GENERAL PULLER HIGHWAY",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "23149",
            "telephone_number": "804-370-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 N 25th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232236539",
            "country_code": "US",
            "telephone_number": "804-780-0840",
            "fax_number": "804-780-0862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CARLA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101233490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, VA

Sources for this page

Verify at the official NPI Registry.