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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LACEY KING PA
NPI 1477104883
Physician Assistant - Surgical in Atlanta, GA

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 727-6123 Get Directions Write a Review

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

Record update history: May 20, 2021, Sep 26, 2019 (2 updates tracked since 2019).

About Lacey King Pa NPPES

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

LACEY KING PA (NPI 1477104883) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (10284) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477104883
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLACEY KINGCredential: PA
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059
Phone(404) 727-6123
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1477104883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 10284
Also ListedPhysician AssistantTaxonomy 363A00000X · License 10284 (GA)
1364 CLIFTON RD NE, Atlanta, GA 30322
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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

Lacey King Pa 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 ID3870992571
PECOS Enrollment IDI20210601000322
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

GREGORY WESTON
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658
RUTH FLAHERTY CCC-SLP
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
JENNIFER MARIE SCHNETZER RN
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (679) 378-1093
PETER MORAN PHARMD
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
SARAH ELIZABETH DUNSEATH MD
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-7777
DUYEN M VO PHARMD
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-7273
CHRISTINE CARPENTER
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
DR. CHRISTOPHER VINCENT BARRY MD, PHD, MPH
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658

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 Lacey King's NPI number?

The NPI number for Lacey King is 1477104883. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Lacey King located?

Lacey King practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-6123.

What is Lacey King's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lacey King enrolled in Medicare?

Yes. Lacey 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 Lacey King affiliated with any hospitals?

According to CMS data, Lacey King is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Lacey King was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.