MR. BEOMJUNE B KIM (DMD, MD, FACS) – Oral and Maxillofacial Surgery (Dentist), NPI 1598931735

MR. BEOMJUNE B KIM (DMD, MD, FACS) is a healthcare provider. based in Newnan, Georgia. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DMD, MD, FACS. They hold a License No. MD.205951 (LA). The NPI Number for MR. BEOMJUNE B KIM (DMD, MD, FACS) is 1598931735

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. BEOMJUNE B KIM (DMD, MD, FACS)
NPI
1598931735
Phone
(770) 400-6000
Address
600 CELEBRATE LIFE PKWY
Enumeration Date
7 May 2008
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
7704006080
Graduation Year
2004 (22 years ago)
PAC ID
3476781923
Group Practice PAC ID
4880841212
Professional Enrollment ID
I20210709002223
Address ID
GA302658001NE600XXPKWY400

Contacts

Secure Messaging
ctcasermc@ctcaallscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

5 MAXILLOFACIAL SURGERY in OK

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Provider Addresses for MR. BEOMJUNE B KIM (DMD, MD, FACS)

  • 600 CELEBRATE LIFE PKWY

    NEWNAN, GA 302658001

    Phone: (770) 400-6000

    Type: Mailing

  • Southwestern Regional Medical Center, 10109, East 79th Street, The Reserve Villages of Highland Park, Tulsa, Tulsa County, Oklahoma, 74133, United States

    TULSA, OK 74133

    Phone: (918) 286-5000

    Fax: (918) 249-7514

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($195).

Total Amount

$266

General + Research + Ownership

Payments

11

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2021-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140108001938IMaxillofacial SurgeryLATBD
I20210709002223IMaxillofacial SurgeryGATBD

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
31575Diagnostic exam of voice box using a flexible endoscope10975$0
99213Established patient office or other outpatient visit, 20-29 minutes7357$0
99205New patient office or other outpatient visit, 60-74 minutes4141$0
99214Established patient office or other outpatient visit, 30-39 minutes3030$0
99215Established patient office or other outpatient visit, 40-54 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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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: 4880841212View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
-GA
Plastic And Reconstructive SurgeryGA
Nurse PractitionerGA
P S Y C H I A T R YGA
-NC

Reviews

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Frequently asked questions

Is MR. BEOMJUNE B KIM (DMD, MD, FACS) listed with a National Provider Identifier?
Yes — MR. BEOMJUNE B KIM (DMD, MD, FACS) has NPI 1598931735 on file in the registry.
Is there an active status for MR. BEOMJUNE B KIM (DMD, MD, FACS)?
For scheduling context, MR. BEOMJUNE B KIM (DMD, MD, FACS) is shown as active in the registry.
What area of care is associated with MR. BEOMJUNE B KIM (DMD, MD, FACS)?
MR. BEOMJUNE B KIM (DMD, MD, FACS)'s record emphasizes Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What locale is associated with MR. BEOMJUNE B KIM (DMD, MD, FACS)?
Directory geography for MR. BEOMJUNE B KIM (DMD, MD, FACS) centers on Newnan, Georgia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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