Hana Kim, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-01991 Issued in NC

Practice address

325 NC Highway 55 West
Mount Olive, NC 28365

Phone

(919) 658-5900

Fax

(919) 658-0101

NPI assigned

Nov 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Amity Medical Group IncGroup PAC ID 7618205980, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: hana.kim.1@12616.direct.athenahealth.com

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.

• Amity Medical Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1003301300
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1760719348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NC HIGHWAY 55 WEST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-658-5900",
            "fax_number": "919-658-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NC HIGHWAY 55 WEST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-658-5900",
            "fax_number": "919-658-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Cleveland Jones
• Heather C Jones, COTA/L
• Joseph Ray Mooring, Jr., D.D.S., P.a.
• Kristina K Joyner
• Aliesha Keys
• Amy Melissa Kimes, DDS
• Dawn F Knowles, LCSW
• Kommunikate Plus Inc
• Kommunikate Plus, Inc.
• Laboratory Corporation of America Holdings

• Medical Physician Assistant in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.