Individual provider Active NPI

Jenna May Kim, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Suwanee, GA
National Provider Identifier
1184037129
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
96077 Issued in GA
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

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 8325181217, 3 clinicians

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 Hospital, Villa Rica, GA, CCN 110015
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgeons of Georgia, LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Nov 1, 2023 Accepting new patients
Charlottesville Eye Associates Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Warner Robins Partners Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Macon Eye Surgery Center, LLC Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Charlottesville Eye Associates LTD Ophthalmology CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.