Organization Active NPI

James Kim MD PC

  • Internal Medicine Physician
  • Reidsville, NC
National Provider Identifier
1609246925
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JAMES KIM MD PC
Practice address
1123 S Main St
Reidsville, NC 27320-5339
Phone
(336) 349-4286
Fax
(336) 349-5986
NPI assigned
Sep 29, 2015
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
James Kim, MD
Title
President
Phone
(336) 501-1628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1123 S Main St
Reidsville, NC 27320-5339

Mailing address

2548 N Beech LN
Greensboro, NC 27455-1276
Phone (336) 501-1653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1609246925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 N BEECH LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551276",
            "telephone_number": "336-501-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205339",
            "telephone_number": "336-349-4286",
            "fax_number": "336-349-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-501-1628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.