Individual provider Active NPI

Joon Y Kim, M.D.

  • Ophthalmology Physician
  • Morrow, GA
National Provider Identifier
1942295233
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26318 Issued in GA
Practice address
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone
(770) 968-8888
Fax
(770) 960-2473
NPI assigned
Sep 13, 2005
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 26318 GA Primary

Addresses

Primary practice location

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180

Mailing address

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone (770) 968-8888

Other identifiers 2

IdentifierTypeStateIssuer
000290078BMedicaidGA
C16012OtherGARAILROAD MEDICARE

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
I20111115000291 GA Practitioner - Ophthalmology 1951370873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Centers Management, IncGroup PAC ID 5092701342, 13 clinicians

Practice addresses (Care Compare)

1000 Corporate Ctr Dr
Suite 100
Morrow, GA 30260-4106
Phone (770) 968-8888

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
99.1
Improvement activities
40
Cost
79.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26318GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Centers Management Inc Ophthalmology CurrentSince Oct 17, 2011 Accepting new patients
Joon Y. Kim, MD, PC CurrentSince Jan 2, 1985 Accepting new patients
Eye Care Centers Management Inc Ophthalmology CurrentSince Oct 17, 2011 Accepting new patients

Locations

500 Plaza Pkwy
McDonough, GA 30253
Phone (770) 968-8888

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260
Phone (770) 968-8888

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

60 Oak Hill Blvd
Newnan, GA 30265
Phone (770) 683-8637

60 Oak Hill Blvd
Ste 201
Newnan, GA 30265
Phone (770) 400-8400

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1942295233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "26318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000290078B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C16012",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.