Active NPI
Katherine Hui-Jin Kim
- Pediatric Nurse Practitioner
- Duluth, GA
National Provider Identifier
1609762996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383888
- Practice address
- 1920 Briergate Dr
Duluth, GA 30097-6242 - Phone
- (770) 891-6405
- NPI assigned
- Jun 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383888 | NY | Primary |
| Registered Nurse | 163W00000X | N09291 | NY | |
| Registered Nurse | 163W00000X | RN332331 | GA |
Addresses
Primary practice location
1920 Briergate Dr
Duluth, GA 30097-6242
Mailing address
1920 Briergate Dr
Duluth, GA 30097-6242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN332331 | GA | MD | Registered Nurse |
| N09291 | NY | MD | Registered Nurse |
| 383888 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1609762996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 BRIERGATE DR",
"city": "DULUTH",
"state": "GA",
"postal_code": "300976242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BRIERGATE DR",
"city": "DULUTH",
"state": "GA",
"postal_code": "300976242",
"telephone_number": "770-891-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KATHERINE",
"middle_name": "HUI-JIN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-14",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383888",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "N09291",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN332331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.