KINGDOM HEALTHCARE SERVICES, LLC
NPI 1750913349
Clinic/Center - Primary Care in Hiram, GA

Q: What is Kingdom Healthcare Services, LLC's NPI number?

The NPI number for Kingdom Healthcare Services, LLC is 1750913349. It was assigned to this organization in the NPPES registry on February 11, 2020.

Q: What is Kingdom Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 11, 2020

4095 ATLANTA HWY, HIRAM, GA 30141(404) 488-9521 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2023, Oct 31, 2022, Jan 9, 2021 and 1 more (4 updates tracked since 2020).

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About Kingdom Healthcare Services, Llc NPPES

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

KINGDOM HEALTHCARE SERVICES, LLC (NPI 1750913349) is a healthcare organization registered as a primary care in Hiram, Georgia and active in the NPI registry since February 2020. The organization lists Lucille M Travis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750913349

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameKINGDOM HEALTHCARE SERVICES, LLC

Location Address4095 ATLANTA HWYHiram, GA 30141-1854

Mailing Address4095 Atlanta HwyHiram, GA 30141-1854 · (404) 488-9521

Phone(404) 488-9521

Organization SubpartNo

Authorized OfficialLucille M TravisCeo · (678) 978-4947

Enumeration DateFebruary 11, 2020

Last NPPES UpdateOctober 22, 20234 updates tracked since enumeration

NPPES CertifiedOctober 22, 2023

✔ NPI 1750913349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedNursing CareTaxonomy 251J00000X

4095 ATLANTA HWY, Hiram, GA 30141

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Other Providers at the Same Location NPPES 2

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

MRS. LUCILLE TRAVIS NP

Nurse Practitioner (Primary Care)

4095 ATLANTA HWY
HIRAM, GA 30141

Paulding County (404) 488-9521

GREDEL PHARMACY

Pharmacy (Community/Retail Pharmacy)

4095 ATLANTA HWY
HIRAM, GA 30141

Paulding County (678) 202-4804

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 Kingdom Healthcare Services, LLC's NPI number?

The NPI number for Kingdom Healthcare Services, LLC is 1750913349. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is Kingdom Healthcare Services, LLC located?

Kingdom Healthcare Services, LLC is located at 4095 Atlanta Hwy, Hiram, GA 30141. The listed phone number is (404) 488-9521.

What is Kingdom Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kingdom Healthcare Services, LLC was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.