Hannah Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11071 Issued in GA

Practice address

1521 Hickory Flat Hwy Ste 203
Canton, GA 30115-3502

Phone

(770) 800-3455

Fax

(770) 450-8024

NPI assigned

Aug 8, 2022

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

85.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hkim@cleavermed.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleaver Medical Group Dermatology Inc

  dba Cleaver Medical Group Dermatology

  • Dermatology Physician
  • Cumming, GA
  • NPI 1841852076
  Medicare reassignment Care Compare group
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment
• Thomas Chacko M.D. P.C

  dba Chacko Allergy

  • Allergy Physician
  • Alpharetta, GA
  • NPI 1669986709
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1205563442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HICKORY FLAT HWY STE 203",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301153502",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972665",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkim@cleavermed.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1521 Hickory Flat Hwy Ste 203",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301153502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saima Khurram, MD
• Kichcare LLC
• Amanda Kathleen Kidd, CCC-SLP
• Virginia E Killian, RPH
• Annie Kim, M.D.
• Sajeevani Gunasinghe Kim, MD, PHD
• Sarah Kimbro, MA
• Brett T King, CRNA
• Lauren Brooke King, PT, DPT
• Nicholas Joseph Kirkpatrick, D.M.D

• Physician Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.