JUNG IK KIM (MD) – Family Medicine Physician, NPI 1225324551

JUNG IK KIM (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 71793 (GA). The NPI Number for JUNG IK KIM (MD) is 1225324551

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JUNG IK KIM (MD)
NPI
1225324551
Phone
(706) 369-5440
Address
PO BOX 161436
Enumeration Date
24 June 2011
Last Update Date
27 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708489240
Graduation Year
2011 (15 years ago)
PAC ID
1153578935
Group Practice PAC ID
3274535687
Professional Enrollment ID
I20141117000416
Address ID
GA305188806BU4445XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for JUNG IK KIM (MD)

  • PO BOX 161436

    ATLANTA, GA 303211436

    Phone: (706) 369-5440

    Fax: (706) 369-5490

    Type: Mailing

  • 340 EXCHANGE BLVD

    BETHLEHEM, GA 306201759

    Phone: (678) 963-7171

    Fax: (678) 963-7177

    Type: Location

  • 340 Exchange Blvd

    Bethlehem, GA 306201759

    Phone: (678) 963-7171

    Fax: (678) 963-7177

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 4445 S LEE ST STE 105

    BUFORD, GA 305188806

    Phone: (770) 848-9240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Esperion Therapeutics, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-11-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141117000416IFamily PracticeGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg30031$0
99213Established patient office or other outpatient visit, 20-29 minutes254240$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected8481$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
J0696Injection, ceftriaxone sodium, per 250 mg6013$0
View full utilization report →

Insurance plans in this area (ZIP 30321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274535687View full group profile
NameSpecialtyState
Physician AssistantGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Physician AssistantGA
-GA
Family PracticeGA
-GA
General SurgeryIL
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is JUNG IK KIM (MD) listed with a National Provider Identifier?
Yes — JUNG IK KIM (MD) has NPI 1225324551 on file in the registry.
Is there an active status for JUNG IK KIM (MD)?
For scheduling context, JUNG IK KIM (MD) is shown as active in the registry.
What area of care is associated with JUNG IK KIM (MD)?
JUNG IK KIM (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JUNG IK KIM (MD) located near Atlanta?
JUNG IK KIM (MD) currently maps to Atlanta, Georgia in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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