Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason King, PHD

Individual provider Clinical Psychologist · NPI 1215157169

Dr. Jason King, PHD is a Clinical Psychologist in Smyrna, Georgia. Qualified in 2004, 22 years ago. Practices with Jason a King PHD LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2400 Lake Park Dr SE Ste 110
Smyrna, GA 30080-8979
Phone: (770) 933-4130
Fax: (770) 933-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY002888 (GA)

Record details

NPI number1215157169
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address2400 Lake Park Dr Se Ste 110, Smyrna, GA 30080-8979

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Jason A King Phd Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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