Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BREANNA ALEXIS KING
NPI 1215859392
Nurse Practitioner - Family in Decatur, GA

Active since July 29, 2026
484 IRVIN CT, DECATUR, GA 30030(229) 391-3500 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Alexis King NPPES

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

BREANNA ALEXIS KING (NPI 1215859392) is an individual family provider in Decatur, Georgia, licensed in Georgia (APRN-NP287646) and active in the NPI registry since July 2026. She maintains a secondary practice location in Tifton.

NPPES Registry Identity

NPI1215859392
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA ALEXIS KING
Location Address484 IRVIN CTDecatur, GA 30030-5406
Mailing Address1948 Old Ocilla RdTifton, GA 31794-1644 · (229) 391-3500
Sole ProprietorNo
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1215859392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP287646
484 IRVIN CT, Decatur, GA 30030

Secondary Practice Location 1

Location 11948 Old Ocilla RdTifton, GA 31794-1644 · Phone (229) 391-3500

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
484 IRVIN CT, SUITE 130
DECATUR, GA 30030
Audiologist
484 IRVIN CT
DECATUR, GA 30030
Otolaryngology
484 IRVIN CT, STE 140
DECATUR, GA 30030
Family Medicine
484 IRVIN CT, SUITE 110
DECATUR, GA 30030
Specialist
484 IRVIN CT, SUITE 220
DECATUR, GA 30030

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 Breanna King's NPI number?

The NPI number for Breanna King is 1215859392. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Breanna King located?

Breanna King practices at 484 Irvin Ct, Decatur, GA 30030. The listed phone number is (229) 391-3500.

What is Breanna King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Breanna King was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.