Active NPI
Joseph Kim, APRN, FNP-C
- Family Nurse Practitioner
- Suwanee, GA
National Provider Identifier
1033898499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN319919
- Practice address
- 2685 Peachtree Pkwy
Suwanee, GA 30024-5646 - Phone
- (770) 771-5260
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN319919 | GA | Primary |
Addresses
Primary practice location
2685 Peachtree Pkwy
Suwanee, GA 30024-5646
Mailing address
259 Privet Cir
Suwanee, GA 30024-7447
Phone (505) 331-6509
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN319919 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Vascular Clinic, PC | Current | Accepting new patients |
Locations
2685 Peachtree Pkwy
Suwanee, GA 30024
Phone (770) 771-5260
2685 Peachtree Pkwy
Ste 320
Suwanee, GA 30024
Phone (770) 771-5260
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHIJAA
- https://fhir4.healow.com/fhir/r4/AAFJBD/Endpoint/AAFJBD
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.
-
- Vascular Surgery Physician
- Suwanee, GA
- NPI 1619987682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1033898499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 PRIVET CIR",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247447",
"telephone_number": "505-331-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 PEACHTREE PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245646",
"telephone_number": "770-771-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOSEPH",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN319919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.