KING'S HOMETOWN WALK-IN CLINIC LLC
NPI 1871292078
Family Medicine in Blairsville, GA

Active since February 27, 2023CLIA 11D2279829 · Waiver
214 YOUNG HARRIS ST STE B, BLAIRSVILLE, GA 30512(706) 400-9770 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About King's Hometown Walk-in Clinic Llc NPPES

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

KING'S HOMETOWN WALK-IN CLINIC LLC (NPI 1871292078) is a healthcare organization registered as a family medicine in Blairsville, Georgia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Stacy Beard-adams, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1871292078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKING'S HOMETOWN WALK-IN CLINIC LLC
Location Address214 YOUNG HARRIS ST STE BBlairsville, GA 30512-8534
Mailing Address214 Young Harris St Ste BBlairsville, GA 30512-8534
Organization SubpartNo
Authorized OfficialStacy Beard-adamsCredentialing Specialist · (321) 206-1162
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1871292078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

214 YOUNG HARRIS ST STE B, Blairsville, GA 30512

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2279829

King's Hometown Walk-In Clinic, LLC · Blairsville, GA
Active · expires Apr 9, 2027
CLIA Number11D2279829
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorSteven M. Rouse
Laboratory Phone(706) 400-9770
Laboratory LocationKing's Hometown Walk-In Clinic, LLC214 Young Harris Street, Ste B, Blairsville, GA 30512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
214 YOUNG HARRIS ST STE B
BLAIRSVILLE, GA 30512

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 King's Hometown Walk-In Clinic LLC's NPI number?

The NPI number for King's Hometown Walk-In Clinic LLC is 1871292078. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is King's Hometown Walk-In Clinic LLC located?

King's Hometown Walk-In Clinic LLC is located at 214 Young Harris St Ste B, Blairsville, GA 30512. The listed phone number is (706) 400-9770.

What is King's Hometown Walk-In Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does King's Hometown Walk-In Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2279829) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for King's Hometown Walk-In Clinic LLC was last updated on February 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.