Joyce Bobae Kim, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.2392 Issued in AL

Practice address

3702 2ND Ave
Columbus, GA 31904-7408

Phone

(706) 507-9209

Fax

(706) 507-9249

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Hospitalist

Education

Ohio University, College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ethne Health, IncGroup PAC ID 5092054940, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joyce.kim.1@18426.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18426/brand/1/csg/1/fhir/r4
• Direct secure messaging: jkim660338@direct.emory.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ethne Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Clarkston, GA
  • NPI 1538646054

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Family Medicine

  Medicare reassignment NPD
• Mercymed of Columbus Inc

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1639450877
  Medicare reassignment NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Family Medicine, GA

  Medicare reassignment NPD
• Mercymed of Columbus Inc

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1316729734
  NPD
• Ethne Health

  • Dental Clinic/Center
  • Clarkston, GA
  • NPI 1073389219
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1659716587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-507-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047408",
            "telephone_number": "706-507-9209",
            "fax_number": "706-507-9249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Union Ave Ste 200",
            "address_2": "Christ Community Health Services",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046654",
            "country_code": "US",
            "telephone_number": "901-271-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOYCE",
        "middle_name": "BOBAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2392",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "078856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim C. Florence MD PC (Columbus-Long OB/GYN)
• Daniel Kim, MD
• Hae Dong Kim, DO
• Hannah Miwon Kim
• Ji Hyun Kim, PHARM D
• Yeonjoo Kim, D.M.D.
• Adrieanna Kimber, RBT
• Angela Genene Kimbrough, EDD, LMHC, NCC, CPCS
• Sandra D Kimbrough
• Bethany Marie Kimmel, BA, RBT, PSS

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.