KAREN KING
NPI 1366904179
Nurse Practitioner - Gerontology in Calhoun, GA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 879-4776 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2021, Apr 1, 2019 (2 updates tracked since 2019).

About Karen King NPPES

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

KAREN KING (NPI 1366904179) is an individual gerontology provider in Calhoun, Georgia, licensed in Georgia (APRN-NP175344) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366904179
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAREN KING
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2019
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1366904179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in GA · APRN-NP175344
1035 RED BUD RD NE, Calhoun, GA 30701

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

Karen King 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 ID6800200353
PECOS Enrollment IDI20210125003203
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Internal Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701

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 Karen King's NPI number?

The NPI number for Karen King is 1366904179. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Karen King located?

Karen King practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 879-4776.

What is Karen King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Karen King enrolled in Medicare?

Yes. Karen 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.

Is Karen King affiliated with any hospitals?

According to CMS data, Karen King is affiliated with Adventhealth Gordon.

When was this NPI record last updated?

The NPPES record for Karen King was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.