JOHN WESLEY KING JR. (NPI# 1669465860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669465860 |
| Entity Type | Individual |
| Full Name | JOHN WESLEY KING JR. |
| Credential | M.D. |
| Practice Address |
250 Martin Luther King Jr Blvd Macon GA 31201-3490 |
| Practice Telephone | 4783014111 |
| Practice Fax Number | 4783015812 |
| Mailing Telephone | 4783012362 |
| Mailing Fax Number | 4783012272 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2017-02-14 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
021126 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
021126 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CHAMPUSTRICARETRICARLIFE | 58171495131061 | 01 |
| GA | 00347608A | 05 | |
| GA | GEORGIA LICENSE | 021126 | 01 |
| GA | BCBS GEORGIA | 52071710 | 01 |
| GA | CHAMPVA COMMERCIAL | 581714951 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295287803 | John D. King | Counselor | 622 E Lost Pine Way Rd, Galloway, NJ 08205-9688 | 2016-10-30 |
| 1437401213 | John Martin King | Homemaker | 4900 E. 5th Street #2007, Tucson, AZ 85711 | 2012-10-04 |
| 1194055715 | John F. King | Audiologist | 6230 Hannon Ct, San Diego, CA 92117 | 2010-01-04 |
| 1912232414 | John Mark King | Counselor | 304 Glades Cir, Largo, FL 33771-5016 | 2009-10-16 |
| 1093943763 | John Haskins King | Counselor | 912 North Elm Street, Greensboro, NC 27401-1513 | 2009-07-01 |
| 1891974325 | John Warren King | Occupational Therapist | 128 W Grove St, Bogota, NJ 07603-1003 | 2007-11-01 |
| 1295941391 | John Francis King | Social Worker | 35000 Division, Suite 2, Richmond, MI 48062 | 2007-05-15 |
| 1851464879 | John Kevin King | Anesthesiology | 4216 Lovers Ln Ste 204, Suite 650, Dallas, TX 75225-6920 | 2006-11-16 |
| 1215012109 | John T King | Dentist | 504 8th Street, Corning, IA 50841-1404 | 2006-10-26 |
| 1528142718 | John Victor King | Dentist | 15725 E Warren Ave, Detroit, MI 48224-3216 | 2006-10-24 |
| Street Address |
250 MARTIN LUTHER KING JR BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31201-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350017 | Michael Caputo | Marriage & Family Therapist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2020-03-11 |
| 1801319447 | Neha Khorana | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-07-25 |
| 1659818623 | Community Health Care Systems, Inc | Clinic/Center | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-01-27 |
| 1659716546 | Fanisha Y Porter | Psychiatry & Neurology | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2013-05-06 |
| 1679835649 | Joe Sam Robinson IIi | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2012-06-14 |
| 1831457274 | Stephanie Alexandra Beavers | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2012-04-23 |
| 1447534441 | Marita Ann Hockstedler | Nurse Practitioner | 250 Martin Luther King Jr Blvd, Macon, GA 31201-0000 | 2011-10-10 |
| 1154602910 | Dinah K Ayna | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2011-09-07 |
| 1477708956 | Katherine Walker Hatcher | Nurse Practitioner | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2008-11-25 |
| 1760634505 | Avinesh Singh Bhar Jaswindar Singh | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2008-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523399 | Macon Lung Center PC | Internal Medicine | 560 First Street, Macon, GA 31201 | 2006-07-03 |
| 1609859859 | Robert Jonathan Dean | Internal Medicine | 840 Pine Street Suite 780, Macon, GA 31201 | 2005-11-22 |
| 1629694476 | Virtual Icu Company | Internal Medicine | 560 First Street, Macon, GA 31201-2824 | 2020-06-17 |
| 1821440819 | Southern Lung Specialists PC | Internal Medicine | 770 Pine St, Suite 560, Macon, GA 31201-7569 | 2016-07-01 |
| 1982730750 | Larry Wells Grant | Internal Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2007-02-26 |
| 1235271636 | Donald R Robinson | Internal Medicine | 770 Pine St, Suite 200, Macon, GA 31201-2173 | 2007-02-13 |
| 1932274461 | Surinder P Dalal | Internal Medicine | 770 Pine St, Suite 560, Macon, GA 31201-2173 | 2006-11-21 |
| 1144310954 | Douglas Paul Farman | Internal Medicine | 707 Pine St, Macon, GA 31201-2106 | 2006-10-13 |
| 1851313431 | Gerald T. Tarirah | Internal Medicine | 770 Pine Street, Suite 560, Macon, GA 31201 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.