Active NPI
Marcy King, PA-C
- Medical Physician Assistant
- Rincon, GA
National Provider Identifier
1962853911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 7950
- Practice address
- 131 Goshen Road Ext Ste 300
Rincon, GA 31326-5590 - Phone
- (912) 826-0860
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 7950 | GA | Primary |
Addresses
Primary practice location
131 Goshen Road Ext Ste 300
Rincon, GA 31326-5590
Mailing address
1511 Whitemarsh Way
Savannah, GA 31410-5228
Phone (618) 922-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7950 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1962853911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 WHITEMARSH WAY",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314105228",
"telephone_number": "618-922-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 GOSHEN ROAD EXT STE 300",
"city": "RINCON",
"state": "GA",
"postal_code": "313265590",
"telephone_number": "912-826-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARCY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "7950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
- K. McGrory Counseling, Inc.
- Mariz Ysabelle Kanger
- Kathryn Klock-Powell and Associates, LLC
- Kimberley S Keough
- Kimberly G Redick DMD Family and Cosmetic Dentistry PC
- Russell Connelly Kirks, M.D.
- Kathryn Klock-Powell, PHD, LMFT
- Christopher Daniel Kohls, M.D.
- William Joseph Kolhoff, M.D.
- James Kress, LPC, CADC2
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.