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PAUL KING MD PC
NPI 1649362518
Psychiatry & Neurology - Psychiatry in Olive Branch, MS

Active since September 29, 2006
9075 SANDIDGE CENTER DR, OLIVE BRANCH, MS 38654(662) 893-7101(662) 895-4403 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul King Md Pc NPPES

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

PAUL KING MD PC (NPI 1649362518) is a healthcare organization registered as a psychiatry in Olive Branch, Mississippi and active in the NPI registry since September 2006. The organization lists Paul King, Physician, as its authorized official.

NPPES Registry Identity

NPI1649362518
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePAUL KING MD PC
Location Address9075 SANDIDGE CENTER DROlive Branch, MS 38654
Mailing AddressPo Box 341065Memphis, TN 38184 · (901) 385-2342 · Fax (901) 382-0140
Phone(662) 893-7101
Fax(662) 895-4403
Organization SubpartNo
Authorized OfficialPaul KingPhysician · (662) 893-7101
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1649362518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MS · 12763✔ Licensed in TN · 10676
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9075 SANDIDGE CENTER DR, Olive Branch, MS 38654
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Other Identifiers 3

Medicaid16134MS
Medicare UPINB03587
Medicaid00853276MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul King Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080917000491Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul King MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul King, MD
Psychiatry
NPI 1548423718
9075 SANDIDGE CENTER DRIVE
Olive Branch, MS 38654
(662) 893-7101
✔ PECOS0.1 mi

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

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 Paul King MD PC's NPI number?

The NPI number for Paul King MD PC is 1649362518. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Paul King MD PC located?

Paul King MD PC is located at 9075 Sandidge Center Dr, Olive Branch, MS 38654. The listed phone number is (662) 893-7101.

What is Paul King MD PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul King MD PC enrolled in Medicare?

Yes. Paul King MD PC is registered in the Medicare PECOS enrollment system.

When is Paul King MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Paul King MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Paul King MD PC. 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.

When was this NPI record last updated?

The NPPES record for Paul King MD PC was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.