Organization Active NPI

JK Internal Medicine & Geriatrics,PC

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1649460437
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54442 Issued in GA
Legal business name
JK INTERNAL MEDICINE & GERIATRICS,PC
Practice address
1325 Satellite Blvd NW Ste 701a
Suwanee, GA 30024-4676
Phone
(678) 417-1255
Fax
(678) 417-1258
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Dr. Jinahn Kim, MDNPI 1922057702
Title
Ceo
Phone
(678) 417-1255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 59806 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 54442 GA Primary

Addresses

Primary practice location

1325 Satellite Blvd NW Ste 701a
Suwanee, GA 30024-4676

Mailing address

1325 Satellite Blvd NW Ste 701a
Suwanee, GA 30024-4676
Phone (678) 417-1255

Other identifiers 1

IdentifierTypeStateIssuer
488455065AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000571 GA Part B Supplier - Clinic/Group Practice 1951480839 Receives reassigned benefits from 6 practitioners
Practice locations: Suwanee, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1042613JK Internal Medicine and Geriatrics PC1325 Satellite Boulevard Building 700 Suite 701, Suwanee, GA 30024Certificate of waiverJul 4, 2027

National Provider Directory

National Provider Directory

Locations

1325 Satellite Blvd NW
Suwanee, GA 30024
Phone (470) 713-0414

1325 Satellite Blvd NW
Ste 701A
Suwanee, GA 30024
Phone (678) 417-1255

1325 Satellite Blvd NW
Ste 701
Suwanee, GA 30024
Phone (678) 417-1255

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCCBDA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1649460437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 701A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244676",
            "telephone_number": "678-417-1255",
            "fax_number": "678-417-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 701A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244676",
            "telephone_number": "678-417-1255",
            "fax_number": "678-417-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK INTERNAL MEDICINE & GERIATRICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINAHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-417-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "59806",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "54442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488455065A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.