KM Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KM MEDICINE, LLC

Practice address

26 Willow GLN
Atlanta, GA 30342-1109

Phone

(404) 282-8363

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Madiha Memon

Title

Chief Financial Officer

Phone

(404) 282-8363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Kamran Mohammad, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1770088106

  GA

  Medicare reassignment NPD
• Roshni Balkrishna Desai, PA-C

  • Physician Assistant
  • Los Gatos, CA
  • NPI 1548562671

  GA

  Medicare reassignment

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1982402913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WILLOW GLN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WILLOW GLN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421109",
            "telephone_number": "404-282-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MADIHA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "404-282-8363"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Williams Kluball
• Klubhouse Therapy Services LLC
• Ave Kludze
• Jeffrey Klugman, MD
• Patricia M Klump, CRNA
• KMB Billing and Consulting
• KMB Diagnostics
• KMB Diagnostics LLC
• KMS Private Homecare Services LLC
• Jennifer W Knapp, CRNA

• All providers in Atlanta, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.