Individual provider Active NPI

Geum Yeon Sim

  • Interventional Pain Medicine Physician
  • Augusta, GA
National Provider Identifier
1245897768
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
101017 Issued in GA
Practice address
1367 Interstate Pkwy
Augusta, GA 30909-5626
Phone
(404) 920-4950
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 101017 GA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME183061 FL

Addresses

Primary practice location

1367 Interstate Pkwy
Augusta, GA 30909-5626

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241011002964 GA Practitioner - Pain Management 8820457559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Johns Hopkins University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1367 Interstate Pkwy
Augusta, GA 30909-5626
Phone (770) 929-9033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101017GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Jun 8, 2024 Accepting new patients
The Interventional Spine and Pain Management Center PC Interventional Pain Medicine CurrentSince Jun 8, 2024 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Interventional Spine and Pain Management Center, PC Interventional Pain Medicine PastSince Apr 6, 2021 Accepting new patients

Locations

3885 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 349-0496

2061 Peachtree Rd NE
Atlanta, GA 30309
Phone (404) 352-3522

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

2100 Central Ave
Augusta, GA 30904
Phone (706) 843-6241

1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135

3152 Perimeter Pkwy
Ste 1
Augusta, GA 30909

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3925 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 355-1285

134 Riverstone Ter
Canton, GA 30114

2205 Riverstone Blvd
Canton, GA 30114

812 S Park St
Carrollton, GA 30117
Phone (770) 834-7436

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

5303 Adams St NE
Covington, GA 30014
Phone (404) 786-0643

970 Sanders Rd
Cumming, GA 30041

3685 Braselton Hwy
Dacula, GA 30019
Phone (678) 546-9800

6002 Highway 53 E
Dawsonville, GA 30534
Phone (706) 265-1335

3400 Chapel Hill Rd
Douglasville, GA 30135
Phone (404) 973-8920

35 W Church St
Ste 101
Jasper, GA 30143
Phone (404) 796-7011

4799 Sugarloaf Pkwy
Lawrenceville, GA 30044
Phone (404) 920-4959

400 Tower Rd NE
Marietta, GA 30060
Phone (770) 514-7550

1975 Highway 54 W
Peachtree City, GA 30269
Phone (678) 854-1976

1100 Lake Hearn Dr
Sandy Springs, GA 30342
Phone (404) 255-5512

300 Parkbrooke Pl
Woodstock, GA 30189

Interoperability endpoints

  • Direct secure messaging: gsim1119204@direct.hopkinsmedicine.org

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1245897768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "404-920-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "GEUM YEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "101017",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME183061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.