AMY E KIM (MD) – MOHS-Micrographic Surgery Physician, NPI 1457312019

AMY E KIM (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 048252 (GA). The NPI Number for AMY E KIM (MD) is 1457312019

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
AMY E KIM (MD)
NPI
1457312019
Phone
(404) 257-9933
Address
875 JOHNSON FERRY RD NE
Enumeration Date
31 March 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7707261277
Graduation Year
1998 (28 years ago)
PAC ID
3779517917
Group Practice PAC ID
8729076443
Professional Enrollment ID
I20050927000109
Address ID
GA301411849HI4374XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for AMY E KIM (MD)

  • Mirzabeigi Atlanta Plastic Surgery, 975, Johnson Ferry Road Northeast, Atlanta, Fulton County, Georgia, 30342, United States

    SUITE 300

    ATLANTA, GA 303421418

    Phone: (404) 257-9933

    Fax: (404) 257-9931

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($70).

Total Amount

$217

General + Research + Ownership

Payments

6

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2005-09-27

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
I20050927000109IDermatologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes613508$0
17003Destruction of precancer skin growth, 2-14 growths611182$0
17000Destruction of precancer skin growth, 1 growth394310$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks385312$0
11102Biopsy of related skin growth, first growth275236$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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Provider's Procedures

AMY E KIM (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA88342Tissue or cell analysis by immunologic technique2516
DERMATOLOGYGA14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1717
DERMATOLOGYGA17003Destruction of 2-14 skin growths1104279

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: 8729076443View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YLA
Nurse PractitionerGA
Physician AssistantGA
Plastic And Reconstructive Surgery, General SurgeryGA
-GA
D E R M A T O L O G YGA
D E R M A T O L O G YMO

Reviews

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Frequently asked questions

What is the standard ID for AMY E KIM (MD) in the U.S.?
In the U.S., AMY E KIM (MD) is identified by NPI 1457312019.
Is AMY E KIM (MD)'s NPI status active today?
Active status means AMY E KIM (MD)'s NPI record is not deactivated in the public file.
What type of care does AMY E KIM (MD) provide?
AMY E KIM (MD)'s profile centers on MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is AMY E KIM (MD) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, AMY E KIM (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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