Individual provider Active NPI

Kyongchol Kim, MD

  • Internal Medicine Physician
  • Cartersville, GA
National Provider Identifier
1740265677
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
060288 Issued in GA
Practice address
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone
(470) 490-2142
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 060288 GA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 43029 TN

Addresses

Primary practice location

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Mailing address

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 493-1595

Other practice location 1

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 493-1595

Other names 1

  • Kyongchol Kim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080227000415 TN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426132556 Reassigns benefits to 5 organizations
I20150504000719 GA Practitioner - Internal Medicine 8426132556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Allatoona Physician Services PCGroup PAC ID 7517342579, 26 clinicians

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 788-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060288GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jun 30, 2022 Accepting new patients
Allatoona Physician Services PC CurrentSince Jun 16, 2025 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 8, 2017 Accepting new patients
App of Tennessee HM, PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Nov 8, 2017 Accepting new patients
Cartersville Medical Center LLC Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Metro Knoxville Hma LLC Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2300 Patterson St
#M
Nashville, TN 37203

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: kyongchol.kim@hca1.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1740265677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-493-1595",
            "fax_number": "423-493-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "470-490-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043258",
            "country_code": "US",
            "telephone_number": "423-493-1595",
            "fax_number": "423-493-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYONGCHOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060288",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "43029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYONGCHOL",
            "last_name": "KIM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.