NPI age
6 years
Enumerated 2020-02-11
● Active Type 2 · Organization
Kingdom Healthcare Services, Llc
Kingdom Healthcare Services, Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Travis
Ceo
Last NPPES update
2023-10-22
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
6 years
↓ 5 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
4095 Atlanta Hwy
Hiram, GA 301411854
Mailing address
4095 Atlanta Hwy
Hiram, GA 301411854
Additional practice locations
1 secondary location on file with NPPES.
Location 2
215 Palisades Dr
Dallas, GA 301570928
Authorized official
Lucille M Travis, NP
Ceo
📞 6789784947
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lucille Travis, NP Nurse Practitioner NPI 1093206674
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Nursing CareA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.