Jong-Hyun Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

056308 Issued in GA

Practice address

2550 Pleasant Hill Rd Ste 126
Duluth, GA 30096-9278

Phone

(770) 622-1730

Fax

(770) 622-1772

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205861648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-622-1730",
            "fax_number": "770-622-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-622-1730",
            "fax_number": "770-622-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONG-HYUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938829265A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jin Dea Kim, M.D.
• Jina Y. Kim, MD
• Jiyeon Kim, PA
• Jo Myeong Kim, DO
• John Minsung Kim, DACM, L.AC., DIPL.AC
• Joseph Kim, D.D.S., D.C.
• Joshua Kim, D.D.S.
• Joshuah Sunggon Kim, L.AC.
• Jung Bum Kim, D.C
• Jung H Kim, PT, DPT

• Family Medicine Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.