DR. JASON KING PH.D.
NPI 1215157169
Psychologist - Clinical in Smyrna, GA

Q: What is Jason King's NPI number?

The NPI number for Jason King is 1215157169. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Jason King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jason King was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

2400 LAKE PARK DR SE STE 110, SMYRNA, GA 30080(770) 933-4130(770) 933-4130 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jason King Ph.d. NPPES

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

DR. JASON KING PH.D. (NPI 1215157169) is an individual clinical provider in Smyrna, Georgia, licensed in Georgia (PSY002888) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1215157169

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JASON KINGCredential: PH.D.

Location Address2400 LAKE PARK DR SE STE 110Smyrna, GA 30080-8979

Mailing Address2400 Lake Park Dr Se Ste 110Smyrna, GA 30080-8979 · (770) 933-4130 · Fax (770) 933-4130

Phone(770) 933-4130

Fax(770) 933-4130

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 25, 2007

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1215157169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY002888

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2400 LAKE PARK DR SE STE 110, Smyrna, GA 30080

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason King Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234150319

PECOS Enrollment IDI20051219000261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

70 services14 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

42 services14 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

15 services15 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

14 services14 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

14 services14 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE HILARY ROGERS PH.D

Psychologist (Clinical)

2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080

Cobb County (770) 933-4130

DR. SABRINA HICKLE PH.D.

Psychologist (Clinical)

2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080

Cobb County (770) 933-4130

JASON A. KING, PH.D., LLC

Psychologist (Clinical)

2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080

Cobb County (770) 933-4130

MIRIAM SHAPIRO PHD

Psychologist (Clinical)

2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080

Cobb County (770) 933-4130

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 Jason King's NPI number?

The NPI number for Jason King is 1215157169. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Jason King located?

Jason King practices at 2400 Lake Park Dr SE Ste 110, Smyrna, GA 30080. The listed phone number is (770) 933-4130.

What is Jason King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jason King enrolled in Medicare?

Yes. Jason King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason King was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.