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Kingdom Healthcare Services, LLC

Primary Care Clinic/Center in Hiram, GA · enumerated 2020 · authorized official Lucille Travis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750913349

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Registry record

Entity type Organization (Type 2)
Legal business name Kingdom Healthcare Services, LLC
Practice address 4095 Atlanta Hwy, Hiram, GA, 30141
Phone (404) 488-9521
Enumeration date Feb 11, 2020
Last updated in NPPES Oct 22, 2023

Taxonomy & classification

251J00000X Nursing Care Agency Agencies Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Lucille Travis
Title Ceo
Phone (678) 978-4947

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kingdom Healthcare Services, LLC?
Kingdom Healthcare Services, LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-22.