DR. JENNY CHRISTINE KIM


Address: 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406
Phone: 4042974230

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 862450770A 05
GA 862450770C 05
GA 862450770D 05
GA 862450770W 05
GA 862450770B 05
GA 862450770U 05

Other Providers JENNY KIM

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

Office Location

Street Address 484 IRVIN CT
STE 140
City DECATUR
State GA
Zip Code 30030-5406

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DECATUR
Zip Code 30030

Improve Information

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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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