Active NPI
Daniel Younghoe Kim, MD
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 92605
- Practice address
- 3890 Redwine Rd SW Ste 100
Atlanta, GA 30331-5583 - Phone
- (404) 344-0059
- NPI assigned
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 92605 | GA | Primary |
Addresses
Primary practice location
3890 Redwine Rd SW Ste 100
Atlanta, GA 30331-5583
Mailing address
3890 Redwine Rd SW Ste 100
Atlanta, GA 30331-5583
Phone (404) 344-0059
Other practice location 1
868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 752-1400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkim615728@directwellstar.org | ||
| Direct Messaging Address | dkim615728@directwellstar.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3890 Redwine Rd SW
Atlanta, GA 30331-5583
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92605 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
868 York Ave SW
Atlanta, GA 30310
3890 Redwine Rd SW
Ste 100
Atlanta, GA 30331
Phone (404) 344-0059
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1720080989
-
- Federally Qualified Health Center (FQHC)
- McDonough, GA
- NPI 1982489555
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Pediatric Anesthesiology Physician
- Kennesaw, GA
- NPI 1972905396
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1841859014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 REDWINE RD SW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303315583",
"telephone_number": "404-344-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 REDWINE RD SW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303315583",
"telephone_number": "404-344-0059"
}
],
"practiceLocations": [
{
"address_1": "868 York Ave SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303102750",
"country_code": "US",
"telephone_number": "404-752-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"middle_name": "YOUNGHOE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "92605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkim615728@directwellstar.org",
"affiliation": "N",
"address_1": "3890 Redwine Rd SW Ste 100",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303315583",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkim615728@directwellstar.org",
"affiliation": "N",
"address_1": "868 York Ave SW",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303102750",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.