Individual provider Active NPI

John S Kim, MD

  • Ophthalmology Physician
  • Chattanooga, TN
National Provider Identifier
1811928245
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01061571A Issued in IN
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

Updated by the provider on Feb 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20150326001000 TN Practitioner - Ophthalmology 2961422365 Reassigns benefits to 1 organization
I20160518001937 GA Practitioner - Ophthalmology 2961422365 Reassigns benefits to 1 organization

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
Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians

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 100Reported as individual
Quality
62.73
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061571AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Specialists PLLC Ophthalmology CurrentSince Mar 22, 2016 Accepting new patients
Southeast Eye Specialists PLLC Ophthalmology CurrentSince Feb 2, 2015 Accepting new patients
Southeast Eye Specialists, PLLC Ophthalmology CurrentSince Feb 2, 2015 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.