Individual provider Active NPI

Daniel Younghoe Kim, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1841859014
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92605 Issued in GA
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

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512000303 GA Practitioner - Family Practice 0547698045 Reassigns benefits to 3 organizations

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
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

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 Hospital, Austell, GA, CCN 110143
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92605GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Health Centers of Georgia, Inc CurrentSince May 5, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2025 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince May 5, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2025 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.

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": "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

Verify at the official NPI Registry.