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KING FAMILY MEDICAL PLLC
NPI 1104164508
Family Medicine in Garland, TX

Active since January 21, 2013CLIA 45D2062678 · Microscopy
5750 BUNKER HILL RD, GARLAND, TX 75048(972) 675-5300(972) 675-5301 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About King Family Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING FAMILY MEDICAL PLLC (NPI 1104164508) is a healthcare organization registered as a family medicine in Garland, Texas and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through July 18, 2027 and lists Scott L King, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104164508
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKING FAMILY MEDICAL PLLC
Location Address5750 BUNKER HILL RDGarland, TX 75048
Mailing Address5750 Bunker Hill RdGarland, TX 75048 · (972) 675-5300 · Fax (972) 675-5301
Phone(972) 675-5300
Fax(972) 675-5301
Organization SubpartNo
Authorized OfficialScott L KingOwner/president · (972) 675-5300
Enumeration DateJanuary 21, 2013
Last NPPES UpdateOctober 2, 2014
✔ NPI 1104164508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K8927
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5750 BUNKER HILL RD, Garland, TX 75048
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Other Identifiers 1

Medicare UPIN291565TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

King Family Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to King Family Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scottie King, MD
Family Practice
NPI 1295759025
5750 BUNKER HILL RD
Garland, TX 75048
(975) 675-5300
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2062678

King Family Medical, PLLC · Garland, TX
Active · expires Jul 18, 2027
CLIA Number45D2062678
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorScott L. King
Laboratory Phone(972) 675-5300
Laboratory LocationKing Family Medical, PLLC5750 Bunker Hill Road, Garland, TX 75048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King Family Medical PLLC's NPI number?

The NPI number for King Family Medical PLLC is 1104164508. It was assigned to this organization in the NPPES registry on January 21, 2013.

Where is King Family Medical PLLC located?

King Family Medical PLLC is located at 5750 Bunker Hill Rd, Garland, TX 75048. The listed phone number is (972) 675-5300.

What is King Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is King Family Medical PLLC enrolled in Medicare?

Yes. King Family Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through King Family Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to King Family Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does King Family Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2062678) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for King Family Medical PLLC was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.