Individual provider Active NPI

Jennifer Kim, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1598314254
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN240927 Issued in GA
Practice address
285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Phone
(404) 653-0039
Fax
(404) 653-0159
NPI assigned
Sep 5, 2019
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 Nurse Practitioner 363LF0000X RN240927 GA Primary

Addresses

Primary practice location

285 Boulevard NE Ste 610
Atlanta, GA 30312-4212

Mailing address

285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Phone (404) 653-0039

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908003424 GA Practitioner - Nurse Practitioner 1355769316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midtown Neurology, P.C.Group PAC ID 0244228708, 7 clinicians

Practice addresses (Care Compare)

285 Boulevard NE
Suite 610
Atlanta, GA 30312-4212
Phone 4046530039416

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as apm
Quality
79.78
Promoting interoperability
93.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Neurology, P.C. CurrentSince Jul 20, 2022 Accepting new patients
Dekalb Medical Specialty Care Group LLC Past Accepting new patients

Locations

285 Boulevard NE
Ste 345
Atlanta, GA 30312
Phone (404) 213-6440

285 Boulevard NE
Ste 610
Atlanta, GA 30312
Phone (404) 653-0039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1598314254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-653-0039",
            "fax_number": "404-653-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-653-0039",
            "fax_number": "404-653-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN240927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.