Individual provider Active NPI

Meekyung M Kim, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1831245034
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042318 Issued in GA
Practice address
875 Johnson Ferry Road
Suite 200
Atlanta, GA 30342
Phone
(404) 778-6100
Fax
(404) 778-6160
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042318 GA Primary

Addresses

Primary practice location

875 Johnson Ferry Road
Suite 200
Atlanta, GA 30342

Mailing address

875 Johnson Ferry Road
Suite 200
Atlanta, GA 30342
Phone (404) 778-6100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100223000026 GA Practitioner - Internal Medicine 1850435371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health One Medical Group, LLCGroup PAC ID 6103053673, 2 clinicians

Practice addresses (Care Compare)

10710 Medlock Bridge Rd
Suite 200
Johns Creek, GA 30097-1998
Phone (770) 497-4188

Hospital & facility affiliations

  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042318GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health One Medical Group LLC Internal Medicine CurrentSince Oct 7, 2025 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients
Carolyn H. Sigman, MD., PC Internal Medicine Past Accepting new patients

Locations

10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 497-4188

Interoperability endpoints

  • Direct secure messaging: meekyung.kim.1@8258.direct.athenahealth.com

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 1

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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1831245034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FERRY ROAD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-778-6100",
            "fax_number": "404-778-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FERRY ROAD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-778-6100",
            "fax_number": "404-778-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MEEKYUNG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.