JINA Y. KIM


Address: 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4843
Phone: 6784170332

JINA Y. KIM (NPI# 1114155702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114155702
Entity Type Individual
Full Name JINA Y. KIM
Credential MD
Practice Address 3610 Peachtree Industrial Blvd
Suite 100
Duluth
GA 30096-4843
Practice Telephone 6784170332
Practice Fax Number 6784170313
Mailing Telephone 6784170332
Mailing Fax Number 6784170313
Enumeration Date 2009-06-23
Last Update Date 2015-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine MD31877 SC Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 068656 GA Allopathic & Osteopathic Physicians

Other Providers JINA KIM

NPI Name Taxonomy Address Enumeration
1912508706 Jina Kyoung-jin Kim Pharmacist 1100 Us Highway 96 N, Silsbee, TX 77656-7298 2020-11-06
1568081271 Jina Kim Student in an Organized Health Care Education/Training Program 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 2020-04-13
1073087268 Jina Kim Pharmacist 212 E Madison Ave, Cresskill, NJ 07626-2229 2019-01-22
1316469257 Jina Kim Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-07-12
1023468832 Jina Kim Nurse Practitioner 130 Rose Ave, Staten Island, NY 10306-2241 2016-06-13
1851756159 Jina Kyu Jin Kim Registered Nurse 1600 E Olive St, Seattle, WA 98122-2735 2015-12-31
1629478169 Jina Kim Chiropractor 5675 Rising Sun Ave, Suite 14, Philadelphia, PA 19120-2100 2014-09-03
1194081117 Jina Kim Surgery 3300 Gallows Rd, Falls Church, VA 22042-3300 2012-04-03
1386925113 Jina Ann Kim Pharmacist 2125 Broadway, Long Island City, NY 11106-4532 2011-09-07
1417136490 Jina E Kim Nurse Anesthetist, Certified Registered 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 2007-10-26

Office Location

Street Address 3610 PEACHTREE INDUSTRIAL BLVD
SUITE 100
City DULUTH
State GA
Zip Code 30096-4843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033233010 Konjit Zena Pharmacist 3610 Peachtree Industrial Blvd, Duluth, GA 30096-4843 2007-03-16
1154863520 Jiyeon Kim Nurse Practitioner 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4953 2016-11-16
1467807651 Dream Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 3610 Peachtree Industrial Blvd, Ste 400, Duluth, GA 30096-4843 2016-04-26
1215381652 Dream Pharmacy Inc Durable Medical Equipment & Medical Supplies 3610 Peachtree Industrial Blvd, Ste 400, Duluth, GA 30096 2016-04-22
1831480904 Badrinath Jayanthi Pharmacist 3610 Peachtree Industrial Blvd, Duluth, GA 30096-4843 2011-04-25
1306967831 Manisha S Joshi Pharmacist 3610 Peachtree Industrial Blvd, Duluth, GA 30096-4843 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811553084 Clement Ayanbadejo LLC Family Medicine 2282 Meadow Church Rd Ste 200, Duluth, GA 30097-5318 2019-05-14
1902391923 Young-tae Kim Family Medicine 3610 Peachtree Industrial Blvd Ste 100, Duluth, GA 30096-5139 2018-06-22
1659655538 Primary Care of Atlanta Family Medicine 4124 Chattahoochee Trce, Ste 103, Duluth, GA 30097-2147 2011-10-10
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1497087126 St. Luke's Hospital of Duluth Family Medicine 6351 E. Superior St., Duluth, MN 55804-2545 2010-02-05
1861729816 Mark Steven Grimsley Family Medicine 1611 Satellite Blvd Ste 3, Duluth, GA 30097 2009-11-12
1154552990 Clement O Ayanbadejo Family Medicine 2282 Meadow Church Rd, Ste 200, Duluth, GA 30097-5318 2009-07-28
1891950457 Liem Chi Ngo Family Medicine 4470 Satellite Blvd, Suite 204, Duluth, GA 30096-8851 2008-07-23
1962663302 Martin Charles Hinz Family Medicine 1150 88th Ave W, Duluth, MN 55808-1505 2008-06-18
1447422506 Onelio Emilio Perdomo Family Medicine 3750 Venture Drive, Suite 130, Duluth, GA 30096-1808 2008-03-28
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Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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