GINA KIM (NP-C) – Gerontology Nurse Practitioner, NPI 1629415880
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GINA KIM (NP-C)
5673 PEACHTREE DUNWOODY RD STE 300
ATLANTA, GA 303421775
Phone: (404) 256-7759
Fax: (404) 843-9032
Type: Mailing
121 LANGLEY DR
LAWRENCEVILLE, GA 300466930
Phone: (770) 685-1300
Fax: (770) 685-1311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,665.
Total Amount is formed as General ($1,665) + Research ($0) + Ownership ($0) = $1,665.
Last reported payment date: 2024-09-02 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($269).
Total Amount
$1,665
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $269 |
| AstraZeneca Pharmaceuticals LP | $178 |
| Otsuka America Pharmaceutical, Inc. | $163 |
| ABBVIE INC. | $159 |
| Amgen Inc. | $103 |
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: 2013-08-16
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 |
|---|---|---|---|---|
| I20130816000387 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 134 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 47 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 30342)
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