Active NPI
David D Kim, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 047336
- Practice address
- 4849 Paulsen St Ste 312
Savannah, GA 31405-4426 - Phone
- (912) 483-8817
- NPI assigned
- Jun 6, 2006
- Last updated
- Jun 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 047336 | GA | Primary |
| Ophthalmology Physician | 207W00000X | 047336 | GA |
Addresses
Primary practice location
4849 Paulsen St Ste 312
Savannah, GA 31405-4426
Mailing address
4849 Paulsen St Ste 312
Savannah, GA 31405-4426
Phone (912) 483-8817
Other practice location 1
16741 Ga-67
Suite F
Statesboro, GA 30458
Phone (912) 483-8817
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000792932H | Other | GA | MEDICAID- VIDALIA |
| 00792932B | Medicaid | GA | |
| 000792932F | Other | GA | MEDICAID - STATESBORO |
| 1508805052 | Other | GA | MEDICARE RAILROAD |
| 782177 | Other | BLUE CROSS BLUE SHIELD | |
| GPA977 | Other | SC | MEDICAID GRP. SAV |
| 00792932G | Other | GA | MEDICAID - SAVANNAH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4849 Paulsen St
Suite 312
Savannah, GA 31405-4426
Phone (912) 483-8817
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047336 | GA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Consultants of Savannah LLC | Ophthalmology | Current | Accepting new patients |
Locations
4849 Paulsen St
Ste 312
Savannah, GA 31405
Phone (413) 218-1201
16741 Highway 67
Ste F
Statesboro, GA 30458
Phone (912) 681-4555
Organizations & group practices 1
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.
-
dba Eye Consultants of Savannah
- Ophthalmology Physician
- Savannah, GA
- NPI 1376317602
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1508805052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 PAULSEN ST STE 312",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054426",
"telephone_number": "912-483-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 PAULSEN ST STE 312",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054426",
"telephone_number": "912-483-8817"
}
],
"practiceLocations": [
{
"address_1": "16741 GA-67",
"address_2": "Suite F",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "30458",
"country_code": "US",
"telephone_number": "912-483-8817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-06-10",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "GA",
"license": "047336",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "047336",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID- VIDALIA",
"identifier": "000792932H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00792932B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - STATESBORO",
"identifier": "000792932F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1508805052",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "782177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GRP. SAV",
"identifier": "GPA977",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SAVANNAH",
"identifier": "00792932G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.