Organization Active NPI

Yes Medical Center LLC

  • General Practice Physician
  • Duluth, GA
National Provider Identifier
1912422726
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YES MEDICAL CENTER LLC
Practice address
2005 Boggs Rd Ste 104
Duluth, GA 30096-4602
Phone
(770) 497-0882
Fax
(770) 497-0861
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Dr. Joseph KimNPI 1821246729
Title
Managing Member
Phone
(770) 497-0882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2005 Boggs Rd Ste 104
Duluth, GA 30096-4602

Mailing address

2005 Boggs Rd Ste 104
Duluth, GA 30096-4602

National Provider Directory

National Provider Directory

Locations

2005 Boggs Rd
Ste 104
Duluth, GA 30096
Phone (770) 497-0882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1912422726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD STE 104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964602",
            "telephone_number": "770-497-0882",
            "fax_number": "770-497-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YES MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-497-0882",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.