Active NPI
Mikael Woo Kim, D.C.
- Chiropractor
- Duluth, GA
National Provider Identifier
1942491352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009239
- Practice address
- 2472 Pleasant Hill Rd
203A
Duluth, GA 30096-1746 - Phone
- (770) 623-9229
- NPI assigned
- Aug 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29501 | CA | |
| Chiropractor | 111N00000X | CHIR009239 | GA | Primary |
Addresses
Primary practice location
2472 Pleasant Hill Rd
203A
Duluth, GA 30096-1746
Mailing address
2472 Pleasant Hill Rd
203A
Duluth, GA 30096-1746
Phone (770) 623-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2472 Pleasant Hill Rd
203A
Duluth, GA 30096-1746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29501 | CA | MD | Chiropractor |
| CHIR009239 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Health and Wellness Center Inc | Current | Accepting new patients | |
| Michael D Phillips, MD Medical Corporation | Past | Accepting new patients | |
| Won Sung Chiropractic Clinic, Inc | Chiropractor | Past | Accepting new patients |
| Dana Health and Wellness Center Inc | Chiropractor | Past | Accepting new patients |
| Alleviate Wellness Center of Nelson Lee Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Locations
2472 Pleasant Hill Rd
Ste 203A
Duluth, GA 30096
Phone (770) 623-9229
Organizations & group practices 5
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.
-
- General Practice Physician
- Duluth, GA
- NPI 1023421914
-
- General Practice Physician
- Duluth, GA
- NPI 1063823581
Chiropractor
-
- Chiropractor
- Los Angeles, CA
- NPI 1952692931
-
- Pain Medicine Physician
- Los Angeles, CA
- NPI 1932445012
-
- Chiropractor
- Artesia, CA
- NPI 1538411269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1942491352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 PLEASANT HILL RD",
"address_2": "203A",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961746",
"telephone_number": "770-623-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 PLEASANT HILL RD",
"address_2": "203A",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961746",
"telephone_number": "770-623-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MIKAEL",
"middle_name": "WOO",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29501",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009239",
"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 Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.