Sooil Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015880 Issued in GA

Practice address

6185 Buford Hwy
BLDG G
Peachtree Corners, GA 30071-2350

Phone

(770) 446-0929

Fax

(770) 446-6977

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1972660355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY",
            "address_2": "BLDG G",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY",
            "address_2": "BLDG G",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "015880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000180463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Daesoo Kim, PHD
• Ji Kim
• Rebecca Haeun Kim
• Sara Kim
• Soo Hyun Kim, LPC
• You Mi Jo Kim, LCSW
• Donna Ann Kleinhen
• Kma Care Services LLC
• Kourtney Kostzer, DC
• Shawnda Kouam

• Internal Medicine Physician in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.

Verify at the official NPI Registry.