Individual provider Active NPI

Janie Dickert King, CRNP

  • Internal Medicine Physician
  • Eufaula, AL
National Provider Identifier
1861592057
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1-044439 Issued in AL
Practice address
324 Macon St
Suite 2
Eufaula, AL 36027-1810
Phone
(334) 687-2494
Fax
(334) 687-5584
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1-044439 AL Primary

Addresses

Primary practice location

324 Macon St
Suite 2
Eufaula, AL 36027-1810

Mailing address

324 Macon St
Suite 2
Eufaula, AL 36027-1810
Phone (334) 687-2494

Other identifiers 1

IdentifierTypeStateIssuer
515-21355OtherALBLUE CROSS BLUE SHIELD AL

Other names 1

  • Mrs. Janie Dixon King Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001392 AL Practitioner - Nurse Practitioner 8921098708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William D KingGroup PAC ID 3870582398, 2 clinicians

Practice addresses (Care Compare)

324 Macon St
Suite B
Eufaula, AL 36027-1810
Phone (334) 687-2494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-044439ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William D King Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients

Locations

324 Macon St
Ste 2
Eufaula, AL 36027
Phone (334) 687-2494

324 Macon St
#B
Eufaula, AL 36027
Phone (334) 687-2494

324 Macon St
Eufaula, AL 36027
Phone (334) 687-2494

Interoperability endpoints

  • Direct secure messaging: jking@yourcarecommunity.org
  • Direct secure messaging: janieking@williamdki.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1861592057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MACON ST",
            "address_2": "SUITE 2",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271810",
            "telephone_number": "334-687-2494",
            "fax_number": "334-687-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MACON ST",
            "address_2": "SUITE 2",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271810",
            "telephone_number": "334-687-2494",
            "fax_number": "334-687-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JANIE",
        "middle_name": "DICKERT",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1-044439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "515-21355",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIE",
            "last_name": "KING",
            "middle_name": "DIXON",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

Verify at the official NPI Registry.