Active NPI
Jihae Kim
- Podiatrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD305055
- Practice address
- 1075 Whitlock Ave SW Ste I
Marietta, GA 30064-1996 - Phone
- (404) 435-0718
- Fax
- (404) 941-9543
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD305055 | GA | Primary |
Addresses
Primary practice location
1075 Whitlock Ave SW Ste I
Marietta, GA 30064-1996
Mailing address
5301 South Congress Ave
3 South
Atlantis, FL 33462
Phone (561) 548-1710
Other practice location 1
1000 Johnson Ferry Rd Ste E150
Marietta, GA 30068-2176
Phone (404) 435-0718
Other practice location 2
3280 Howell Mill Rd NW Ste 243
Atlanta, GA 30327-4100
Phone (404) 435-0718
Other practice location 3
5301 South Congress Ave
3 South
Atlantis, FL 33462
Phone (561) 548-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3280 Howell Mill Rd NW
Suite 243
Atlanta, GA 30327-4100
Phone (678) 215-1882
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 30 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gauld Health | Podiatrist | Current | Accepting new patients |
Locations
3280 Howell Mill Rd NW
Ste 243
Atlanta, GA 30327
Phone (404) 435-0718
1000 Johnson Ferry Rd
Ste E150
Marietta, GA 30068
Phone (404) 435-0718
1075 Whitlock Ave SW
Ste I
Marietta, GA 30064
Phone (404) 435-0718
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAAECD/Endpoint/AAAECD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Marietta, GA
- NPI 1518559889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1033869268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 SOUTH CONGRESS AVE",
"address_2": "3 SOUTH",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "33462",
"telephone_number": "561-548-1710",
"fax_number": "561-548-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 WHITLOCK AVE SW STE I",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641996",
"telephone_number": "404-435-0718",
"fax_number": "404-941-9543"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Ferry Rd Ste E150",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300682176",
"country_code": "US",
"telephone_number": "404-435-0718",
"fax_number": "404-941-9543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3280 Howell Mill Rd NW Ste 243",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303274100",
"country_code": "US",
"telephone_number": "404-435-0718",
"fax_number": "404-941-9543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 South Congress Ave",
"address_2": "3 South",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "33462",
"country_code": "US",
"telephone_number": "561-548-1710",
"fax_number": "561-548-1743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JIHAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD305055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.