HANNAH KIM (PA-C) – Physician Assistant, NPI 1205563442
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for HANNAH KIM (PA-C)
11315 Johns Creek Pkwy Ste 140
Johns Creek, GA 300972665
Phone: (770) 800-3455
Type: Location
2000 SUGARLOAF CLUB DR
DULUTH, GA 300974095
Phone:
Type: Mailing
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 300924795
Phone: (770) 263-1000
Type: Location
59 TIPTON DR
DAHLONEGA, GA 305331603
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Mailing
1521 HICKORY FLAT HWY STE 203
CANTON, GA 301153502
Phone: (770) 800-3455
Fax: (770) 450-8024
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $4,234.
Total Amount is formed as General ($4,234) + Research ($0) + Ownership ($0) = $4,234.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($659).
Total Amount
$4,234
General + Research + Ownership
Payments
119
Total payment records
General Amount
$4,234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $659 |
| GENZYME CORPORATION | $620 |
| Arcutis Biotherapeutics, Inc. | $498 |
| Regeneron Healthcare Solutions, Inc. | $330 |
| Dermavant Sciences, Inc. | $245 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220819001803 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 19 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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