MARY M. KIM (M.D.) – Internal Medicine Physician, NPI 1902880123
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for MARY M. KIM (M.D.)
1624 MARS HILL RD
SUITE B
WATKINSVILLE, GA 306774813
Phone: (706) 310-1030
Fax: (706) 705-1444
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 151 Open Payments records for all available years, with a total value of $2,489.
Total Amount is formed as General ($2,489) + Research ($0) + Ownership ($0) = $2,489.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: PFIZER INC. ($448).
Total Amount
$2,489
General + Research + Ownership
Payments
151
Total payment records
General Amount
$2,489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $448 |
| Lilly USA, LLC | $429 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $403 |
| Novo Nordisk Inc | $307 |
| Amgen Inc. | $117 |
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: 2004-06-21
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 |
|---|---|---|---|---|
| I20040621001560 | I | Internal Medicine | 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 | 293 | 163 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 264 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 70 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 80 | 80 | $0 |
| G0008 | Administration of influenza virus vaccine | 72 | 70 | $0 |
Insurance plans in this area (ZIP 30677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA |
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