DR. JENNY CHRISTINE KIM (NPI# 1275531907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275531907 |
Entity Type | Individual |
Full Name | DR. JENNY CHRISTINE KIM |
Credential | M.D. |
Practice Address |
484 Irvin Ct Ste 140 Decatur GA 30030-5406 |
Mailing Address |
Northside Hospital- Managed Care Dept 1000 Johnson Ferry Rd Atlanta GA 30342-1606 |
Practice Telephone | 4042974230 |
Practice Fax Number | 4042974252 |
Mailing Telephone | 4042974230 |
Mailing Fax Number | 4042974252 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 054440 | GA | Allopathic & Osteopathic Physicians |
N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
054440 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 862450770A | 05 | |
GA | 862450770C | 05 | |
GA | 862450770D | 05 | |
GA | 862450770W | 05 | |
GA | 862450770B | 05 | |
GA | 862450770U | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538670120 | Jenny Yunhee Kim | Counselor | 109 W 38th St Fl 3, New York, NY 10018-3615 | 2017-10-23 |
1609927896 | Jenny A Kim | Dentist | 1538 E Collins Ave, Orange, CA 92867-5934 | 2007-01-15 |
1346868858 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-10 |
1962021758 | Jenny Jina Kim | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-04-11 |
1538798962 | Jenny Kim | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2020-04-07 |
1306473806 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 | 2020-03-24 |
1952943953 | Jenny Y Kim | Registered Nurse | 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 | 2019-10-10 |
1982118469 | Jenny H Kim | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2017-11-20 |
1740647213 | Jenny Kim | Nurse Practitioner | 41 E Post Rd, White Plains, NY 10601-4607 | 2016-01-28 |
1336524867 | Jenny Kim | Behavioral Analyst | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2015-07-27 |
Street Address |
484 IRVIN CT STE 140 |
City | DECATUR |
State | GA |
Zip Code | 30030-5406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043660442 | Georgia Interventional Pain - D, LLC | Clinic/Center | 484 Irvin Ct, Suite 130, Decatur, GA 30030-5406 | 2016-06-16 |
1306000906 | Premier Family Medicine Center, LLC | Family Medicine | 484 Irvin Ct, Suite 110, Decatur, GA 30030-5406 | 2008-07-12 |
1326237967 | The South Atlanta Center for Endocrinology. LLC | Specialist | 484 Irvin Ct, Suite 220, Decatur, GA 30030-5406 | 2007-10-19 |
1902910409 | Khaja Ahmed | Family Medicine | 484 Irvin Ct, Ste 110, Decatur, GA 30030-5406 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679720726 | Waymond Jay Pettit | Otolaryngology | 3620 S Taylor Rd, Decatur, IL 62521-9015 | 2008-08-20 |
1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
1174589634 | Joanne Pham | Otolaryngology | 1600 W Business 380, Suite A, Decatur, TX 76234-3281 | 2006-04-25 |
1851356083 | Willis P Callins | Otolaryngology | 4288 Memorial Dr, Ste D, Decatur, GA 30032-1229 | 2006-04-19 |
1265413124 | Sage Kinney Copeland | Otolaryngology | 1218 13th Ave Se, Decatur, AL 35601-4307 | 2005-11-08 |
1275857542 | Shivan H Amin | Otolaryngology | 2675 N Decatur Rd, Ste 707, Decatur, GA 30033-6131 | 2010-03-16 |
1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
1538254727 | Charles R. Potter, M.d., L.L.C. | Otolaryngology | 1770 E Lake Shore Dr, Suite 306, Decatur, IL 62521-3832 | 2006-10-04 |
1760597363 | Michelle Marie Cullen | Otolaryngology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-21 |
1528026580 | Terence R Woods | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
Find all providers in DECATUR |
Please comment or provide details below to improve the information on DR. JENNY CHRISTINE KIM.
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.