Kingdom Wellness Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGDOM WELLNESS SOLUTIONS, LLC

Practice address

2610 Milledgeville Rd
Augusta, GA 30904-5110

Phone

(804) 300-6723

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Anthony Carlie

Title

Ceo

Phone

(804) 300-6723

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Quaniqua Carlie, COO

  • Community Health Worker
  • Augusta, GA
  • NPI 1003521022
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1992570972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 HIGH MEADOWS PL",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138117",
            "telephone_number": "804-300-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 MILLEDGEVILLE RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045110",
            "telephone_number": "804-300-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "CARLIE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-300-6723"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Celeste King, AUD
• Sherita A King, MD
• Tamesha King
• Tashanda King
• Treyvion King
• Veeral Lal Kinger, MD
• Ganesh Kini, M.D.
• Kile Woodrow Kinney, DPM
• Patricia Ann Kinney, PT
• Andrew Robert Kious, D.D.S.

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.