MRS. GUISEON KIM (NP-C) – Nurse Practitioner, NPI 1245696772

MRS. GUISEON KIM (NP-C) is a healthcare provider. based in Brookhaven, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. AP08551 (LA). The NPI Number for MRS. GUISEON KIM (NP-C) is 1245696772

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GUISEON KIM (NP-C)
NPI
1245696772
Phone
Not provided
Address
4400 PEACHTREE RD NE
Enumeration Date
13 January 2016
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048149199
Graduation Year
2015 (11 years ago)
PAC ID
0042500209
Group Practice PAC ID
3274559323
Professional Enrollment ID
I20250304001520
Address ID
GA303192729BR4400XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. GUISEON KIM (NP-C)

  • 4400 PEACHTREE RD NE

    BROOKHAVEN, GA 303192729

    Phone:

    Type: Mailing

  • CVS, 4401, South Claiborne Avenue, Broadmoor, Uptown, New Orleans, Orleans Parish, Louisiana, 70118, United States

    NEW ORLEANS, LA 701255105

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($15).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2025-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190703000572INurse PractitionerLATBD
I20220216000619INurse PractitionerMSTBD
I20250304001520INurse PractitionerGATBD

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
99284Emergency department visit with moderate level of medical decision making9998$0
99285Emergency department visit with high level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 30319)

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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: 3274559323View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Physical Medicine And RehabilitationGA
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

Can I cross-check MRS. GUISEON KIM (NP-C) using NPI 1245696772?
NPI 1245696772 belongs to MRS. GUISEON KIM (NP-C); compare other details if you need extra assurance.
Is there an active status for MRS. GUISEON KIM (NP-C)?
For scheduling context, MRS. GUISEON KIM (NP-C) is shown as active in the registry.
What expertise is attributed to MRS. GUISEON KIM (NP-C)?
MRS. GUISEON KIM (NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. GUISEON KIM (NP-C)?
Travel planning: use Brookhaven, Georgia as the reference point for MRS. GUISEON KIM (NP-C), then confirm.
Can I trust this NPI listing for MRS. GUISEON KIM (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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