Angela B King, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN142732 Issued in GA

Practice address

675 Bullard Rd
Jeffersonville, GA 31044-3314

Phone

(478) 290-1374

Fax

(478) 864-1288

NPI assigned

Feb 22, 2006

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela B King Professional name

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Health Care Systems, Inc.

  dba Johnson County Center for Community Health

  • Federally Qualified Health Center (FQHC)
  • Wrightsville, GA
  • NPI 1932150422
  Medicare reassignment NPD
• Emanuel County Hospital Authority

  dba Emanuel Surgical Associates

  • Surgery Physician
  • Swainsboro, GA
  • NPI 1003221243
  Medicare reassignment NPD
• Emanuel Prompt Care

  • Urgent Care Clinic/Center
  • Swainsboro, GA
  • NPI 1487484820
  Medicare reassignment NPD
• Community Health Care Systems Inc,

  dba Community Health Care Systems, Inc-Twiggs County Public School Wellnes

  • Federally Qualified Health Center (FQHC)
  • Jeffersonville, GA
  • NPI 1881452993
  NPD
• Community Health Care Systems, Inc

  dba Community Health Care Systems Administration & Specialty Services

  • Federally Qualified Health Center (FQHC)
  • Sandersville, GA
  • NPI 1184515694
  NPD
• Emanuel County Hospital Authority

  dba Emanuel Healthcare Center

  • Urgent Care Clinic/Center
  • Swainsboro, GA
  • NPI 1043798648
  NPD
• Linda Munro Psy D PA

  • Military Hospital
  • Robins AFB, GA
  • NPI 1689886137
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1952376832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960371",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BULLARD RD",
            "city": "JEFFERSONVILLE",
            "state": "GA",
            "postal_code": "310443314",
            "telephone_number": "478-290-1374",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANGELA",
        "middle_name": "B",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN142732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KING",
            "middle_name": "B",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffersonville Care Center LLC
• Jeffersonville Healthcare & Rehab, LLC (Jeffersonville Health & Rehab)
• Jeffersonville Trails of Journey LLC
• Journey to Oasis Counseling and Consulting Services (Journey to Oasis Counseling and Consulting Service)
• JV Jeffersonville LLC (Advanced Health and Rehab of Twiggs County)
• New Connections Therapy, LLC
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center
• River Edge Behavorial Health Center
• Shuntice

• Family Nurse Practitioner in Jeffersonville, GA
• Providers in Jeffersonville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.