THE KINGDOM WELLNESS GROUP – NPI #1801754684
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THE KINGDOM WELLNESS GROUP is a provider located in DAYTON, OH. NPPES has assigned the NPI number 1801754684 to THE KINGDOM WELLNESS GROUP on January 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE KINGDOM WELLNESS GROUP below.

NPI Profile for
THE KINGDOM WELLNESS GROUP

NPI Number
1801754684
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE KINGDOM WELLNESS GROUP
Primary location
6148 LITTLE CREEK CT
DAYTON, OH 45424-1321
Phone: (313) 810-2948 Fax:
1 Other location(s):
4769 Free Pike
Trotwood, OH 45416-1111
Phone: (313) 810-2948
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DESHAWN HARRIS
PROVIDER
Phone: (313) 810-2948
Updated
Certification Date
Jan 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.