MICHELLE KING (APRN) – Nurse Practitioner, NPI 1063005197

MICHELLE KING (APRN) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. GAA-NP001269 (GA). The NPI Number for MICHELLE KING (APRN) is 1063005197

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE KING (APRN)
NPI
1063005197
Phone
(770) 674-0553
Address
2150 Peachford Rd Ste A
Enumeration Date
19 February 2021
Last Update Date
12 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2020 (6 years ago)
PAC ID
4183021173
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20230406000404
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MICHELLE KING (APRN)

  • 2150 Peachford Rd Ste A

    Atlanta, GA 303386521

    Phone: (770) 674-0553

    Fax: (770) 674-0554

    Type: Location

  • 1364 Clifton Rd NE

    Atlanta, GA 303221059

    Phone: (404) 712-2000

    Type: Location

  • 6 GLEN COVE DR

    ROCKPORT, ME 048564272

    Phone:

    Type: Mailing

  • PO BOX 80231

    CONYERS, GA 300138231

    Phone:

    Type: Mailing

  • 1364 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (404) 712-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230406000404INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5952$0
99215Established patient office or other outpatient visit, 40-54 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 30338)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How do payers reference MICHELLE KING (APRN)?
For MICHELLE KING (APRN), use NPI 1063005197 as the unique 10-digit identifier.
Is MICHELLE KING (APRN) shown as active in public data?
Registry records indicate MICHELLE KING (APRN) maintains an active NPI.
What clinical focus is listed for MICHELLE KING (APRN)?
At a glance, MICHELLE KING (APRN) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE KING (APRN)?
Directory geography for MICHELLE KING (APRN) centers on Atlanta, Georgia.
When was this NPI issued?
Enumeration for MICHELLE KING (APRN) is noted as February 19, 2021 where the registry provides it.

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