Individual provider Active NPI

Jihae Kim

  • Podiatrist
  • Marietta, GA
National Provider Identifier
1033869268
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD305055 Issued in GA
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

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000581 GA Practitioner - Podiatry 2961898713 Reassigns benefits to 1 organization

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
Gauld HealthGroup PAC ID 9537576889, 6 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 243
Atlanta, GA 30327-4100
Phone (678) 215-1882

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue30
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gauld Health Podiatrist CurrentSince May 11, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.