Active NPI
Jenna May Kim, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 96077
- Practice address
- 3890 Johns Creek Pkwy Ste 240
Suwanee, GA 30024-1286 - Phone
- (770) 604-4141
- Fax
- (770) 604-4140
- NPI assigned
- Jun 7, 2014
- 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 |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 96077 | GA | Primary |
Addresses
Primary practice location
3890 Johns Creek Pkwy Ste 240
Suwanee, GA 30024-1286
Mailing address
3890 Johns Creek Pkwy Ste 245
Suwanee, GA 30024-6697
Phone (770) 604-4141
Other practice location 1
700 Sunset Dr Ste 103
Athens, GA 30606-2287
Phone (770) 604-4141
Other practice location 2
4050 Riverside Dr
Macon, GA 31210-1805
Phone (770) 604-4141
Other practice location 3
103 Villa Rica Pkwy Ste 203
Villa Rica, GA 30180-3273
Phone (770) 604-4141
Other practice location 4
111 Fieldstone Dr Ste 100
Milledgeville, GA 31061-7108
Phone (770) 604-4141
Other practice location 5
4159 Mill St NE
Covington, GA 30014-2546
Phone (770) 604-4141
Other practice location 6
440 Taylors Mill Rd
Fort Valley, GA 31030-7415
Phone (770) 604-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200520000485 | VA | Practitioner - Ophthalmology | 7416278395 | Reassigns benefits to 1 organization |
| I20230922000442 | GA | Practitioner - Ophthalmology | 7416278395 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oculofacial Plastic Surgeons of Georgia, LLC
Practice addresses (Care Compare)
3890 Johns Creek Pkwy
Suite 240
Suwanee, GA 30024-1286
Phone (770) 604-4141
Hospital & facility affiliations
- Tanner Medical Center Villa Rica
- Piedmont Athens Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.04 of 100
- Quality
- 86.9
- Improvement activities
- 40
- Cost
- 77.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oculofacial Plastic Surgeons of Georgia, LLC | Ophthalmic Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Charlottesville Eye Associates | Ophthalmology | Current | Accepting new patients |
| Warner Robins Partners | Ophthalmology | Current | Accepting new patients |
| Macon Eye Surgery Center, LLC | Ophthalmology | Current | Accepting new patients |
| Charlottesville Eye Associates LTD | Ophthalmology | Current | Accepting new patients |
Locations
700 Sunset Dr
Ste 103
Athens, GA 30606
Phone (706) 353-3600
4360 Chamblee Dunwoody Rd
Ste 108
Atlanta, GA 30341
Phone (678) 584-0400
4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234
440 Taylors Mill Rd
Fort Valley, GA 31030
Phone (478) 825-8223
4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710
864 1st St
Macon, GA 31201
Phone (478) 741-6522
111 Fieldstone Dr
Ste 100
Milledgeville, GA 31061
Phone (478) 453-9333
3890 Johns Creek Pkwy
Ste 245
Suwanee, GA 30024
3890 Johns Creek Pkwy
Ste 240
Suwanee, GA 30024
Phone (404) 994-4561
705 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (404) 875-9011
103 Villa Rica Pkwy
Ste 203
Villa Rica, GA 30180
Phone (770) 459-2022
220 Corder Rd
Warner Robins, GA 31088
Phone (478) 922-5015
110 S Pantops Dr
Charlottesvle, VA 22911
Phone (434) 977-5160
Organizations & group practices 5
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Suwanee, GA
- NPI 1871829192
GA, Ophthalmic Plastic and Reconstructive Surgery
-
- Ophthalmologic Surgery Clinic/Center
- Macon, GA
- NPI 1356497747
GA, Ophthalmology
-
- Ophthalmologic Surgery Clinic/Center
- Warner Robins, GA
- NPI 1235289448
GA, Ophthalmology
-
- Ophthalmology Physician
- Charlottesville, VA
- NPI 1548200280
Ophthalmology, VA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1184037129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 JOHNS CREEK PKWY STE 245",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246697",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 JOHNS CREEK PKWY STE 240",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241286",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140"
}
],
"practiceLocations": [
{
"address_1": "700 Sunset Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062287",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312101805",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "103 Villa Rica Pkwy Ste 203",
"address_purpose": "LOCATION",
"city": "Villa Rica",
"state": "GA",
"postal_code": "301803273",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Fieldstone Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310617108",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4159 Mill St NE",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300142546",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 Taylors Mill Rd",
"address_purpose": "LOCATION",
"city": "Fort Valley",
"state": "GA",
"postal_code": "310307415",
"country_code": "US",
"telephone_number": "770-604-4141",
"fax_number": "770-604-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JENNA",
"middle_name": "MAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "GA",
"license": "96077",
"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 Jan 2, 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.