Snuppy, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

60393 Issued in GA

Legal business name

SNUPPY, INC.

Practice address

3473 Satellite Blvd
Ste 108 N
Duluth, GA 30096-8690

Phone

(770) 864-5510

Fax

(770) 864-5398

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Shawn S Kim, MDNPI 1326027715

Title

President

Phone

(770) 864-5510

Specialties & licenses 1

Addresses

Other names 1

• GWANAK INTERNAL MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn S. Kim, M.D.

  • Internal Medicine Physician
  • Duluth, GA
  • NPI 1326027715
  Medicare reassignment NPD Authorized official
• DO Cruz, ANP, WHNP

  • Adult Health Nurse Practitioner
  • Suwanee, GA
  • NPI 1710387204
  Medicare reassignment NPD
• Ann Jungsun Kim, APRN

  • Acute Care Nurse Practitioner
  • Norcross, GA
  • NPI 1275032781
  Medicare reassignment NPD
• Gi Young Kim, NP-C

  • Family Nurse Practitioner
  • Chamblee, GA
  • NPI 1932794633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1194088906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 SATELLITE BLVD",
            "address_2": "STE 108 N",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968690",
            "telephone_number": "770-864-5510",
            "fax_number": "770-864-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 SATELLITE BLVD",
            "address_2": "STE 108 N",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968690",
            "telephone_number": "770-864-5510",
            "fax_number": "770-864-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNUPPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-864-5510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "60393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GWANAK INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nyoka Smith
• Roderick Smith II
• Susan D Smith, MSN CPNP
• Wendy Smith, MSW
• Snkhomecaarellc
• Calvin So
• Ruth Sok
• Solstice Mental Health Treatment
• Steven Mark Sommer, D.C.
• Chelsea Song, RPH

• Primary Care Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.