Individual provider Active NPI

David Nam Young Kim, M.D

  • Family Medicine Physician
  • Smyrna, GA
National Provider Identifier
1568433498
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050306 Issued in GA
Practice address
400 Technology CT SE Ste G
Smyrna, GA 30082-5237
Phone
(770) 435-3214
Fax
(770) 437-6911
NPI assigned
Jan 30, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050306 GA Primary

Addresses

Primary practice location

400 Technology CT SE Ste G
Smyrna, GA 30082-5237

Mailing address

4480 South Cobb Dr
BLDG H, Ste 399
Smyrna, GA 30080
Phone (770) 292-0043

Other practice location 1

611 Campbell Hill St NW Ste 103
Marietta, GA 30060-1386
Phone (770) 435-3214

Other practice location 2

3775 Roswell Rd Ste 375
Marietta, GA 30062-8821
Phone (770) 435-3214

Other identifiers 1

IdentifierTypeStateIssuer
00922864AMedicaidGA

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
I20110112000938 GA Practitioner - Family Practice 6204025869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smyrna Family Medicine, LLCGroup PAC ID 2769704774, 3 clinicians

Practice addresses (Care Compare)

3903 S Cobb Dr SE
Suite 200
Smyrna, GA 30080-6301
Phone (770) 435-3214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050306GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smyrna Family Medicine, LLC Family Medicine CurrentSince Nov 1, 2014 Accepting new patients

Locations

3775 Roswell Rd
Ste 375
Marietta, GA 30062
Phone (770) 435-3214

611 Campbell Hill St NW
Ste 103
Marietta, GA 30060
Phone (678) 574-0861

3903 S Cobb Dr SE
Ste 200
Smyrna, GA 30080
Phone (770) 435-3214

400 Technology Ct SE
Ste G
Smyrna, GA 30082
Phone (770) 435-3214

4480 S Cobb Dr SE
Ste H
Smyrna, GA 30080
Phone (404) 536-4021

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.

Hospital & facility affiliations 7

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1568433498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 SOUTH COBB DR",
            "address_2": "BLDG H, STE 399",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-292-0043",
            "fax_number": "888-556-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TECHNOLOGY CT SE STE G",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825237",
            "telephone_number": "770-435-3214",
            "fax_number": "770-437-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Campbell Hill St NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601386",
            "country_code": "US",
            "telephone_number": "770-435-3214",
            "fax_number": "770-437-6911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3775 Roswell Rd Ste 375",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300628821",
            "country_code": "US",
            "telephone_number": "770-435-3214",
            "fax_number": "770-437-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "NAM YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00922864A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.