Active NPI
John S Kim, MD
- Ophthalmology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01061571A
- Practice address
- 7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097 - Phone
- (423) 508-7337
- Fax
- (423) 508-7338
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01061571A | IN | Primary |
Addresses
Primary practice location
7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097
Mailing address
341 Cool Springs Blvd.
Ste. 400
Franklin, TN 37067
Phone (423) 508-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loma Linda University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 N Meadows Dr
Suite D
Athens, TN 37303-4172
Phone 4235087337205
2855 Old Hwy 5
Blue Ridge, GA 30513-6248
Phone (423) 508-7337
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 62.73
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061571A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Specialists PLLC | Ophthalmology | Current | Accepting new patients |
| Southeast Eye Specialists PLLC | Ophthalmology | Current | Accepting new patients |
| Southeast Eye Specialists, PLLC | Ophthalmology | Current | Accepting new patients |
Locations
2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
135 N Meadows Dr
Ste D
Athens, TN 37303
Phone 4235087337205
1609 Decatur Pike
Athens, TN 37303
Phone (423) 472-5401
135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314
7268 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone 4235087337289
7305 Jarnigan Rd
Ste 220
Chattanooga, TN 37421
2158 Northgate Park Ln
Ste 414
Chattanooga, TN 37415
4160 Ocoee St N
Ste 7
Cleveland, TN 37312
Phone 42350837737
195 White Oak Rd
Ste 300
Dayton, TN 37321
Phone (423) 332-8222
341 Cool Springs Blvd
Ste 400
Franklin, TN 37067
107 N Congress Blvd
Smithville, TN 37166
Phone 4235087337205
9453 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 332-8222
Interoperability endpoints
- jkim@southeasteye.intellechartdirect.net
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Nashville, TN
- NPI 1003437138
-
- Ophthalmology Physician
- Soddy Daisy, TN
- NPI 1750981189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dayton, TN
- NPI 1811987084
-
- Critical Access Hospital
- Blue Ridge, GA
- NPI 1851362263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676160000000",
"number": "1811928245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 COOL SPRINGS BLVD.",
"address_2": "STE. 400",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37067",
"telephone_number": "423-508-7337",
"fax_number": "423-508-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7268 JARNIGAN RD",
"address_2": "SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213097",
"telephone_number": "423-508-7337",
"fax_number": "423-508-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2023-02-12",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01061571A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.