Active NPI
Ye Ji Kim, OD
- Optometrist
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003321
- Practice address
- 2061 Beverly Rd
Gainesville, GA 30501-2034 - Phone
- (770) 532-4444
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003321 | GA | Primary |
Addresses
Primary practice location
2061 Beverly Rd
Gainesville, GA 30501-2034
Mailing address
2601 Beverly Rd
Gainesville, GA 30501
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 Friendship Rd
Suite 120
Braselton, GA 30517-5624
Phone (770) 995-5408
771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30046-4979
Phone (770) 995-5408
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.66 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003321 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Georgia Eye Associates, P.C. | Optometrist | Current | Accepting new patients |
| Eugene B. Gabianelli, MD & Assoc. LLC | Current | Accepting new patients | |
| Gainesville Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Urology of Greater Atlanta LLC | Past | Accepting new patients | |
| Ou Health Partners, Inc | Past | Accepting new patients |
Locations
1235 Friendship Rd
Ste 120
Braselton, GA 30517
Phone (770) 995-5408
2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116
771 Old Norcross Rd
Ste 150
Lawrenceville, GA 30046
Phone (770) 995-5408
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Interoperability endpoints
- ykim@espgep.intellechartdirect.net
- ykim@georgiaeyeassociates.intellechartdirect.net
Organizations & group practices 6
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.
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- Ophthalmology Physician
- Atlanta, GA
- NPI 1629080155
-
- Specialist
- Stockbridge, GA
- NPI 1669570990
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1306415385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 BEVERLY RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 BEVERLY RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012034",
"telephone_number": "770-532-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YE JI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-10-04",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.