AMY E KIM (NPI# 1457312019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457312019 |
| Entity Type | Individual |
| Full Name | AMY E KIM |
| Credential | MD |
| Practice Address |
875 Johnson Ferry Rd Ne Suite 300 Atlanta GA 30342-1418 |
| Practice Telephone | 4042579933 |
| Practice Fax Number | 4042579931 |
| Mailing Telephone | 4042579933 |
| Mailing Fax Number | 4042579931 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
048252 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | BG8313138 | 01 |
| GA | STATE LICENSE | 048252 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083236574 | Amy Kim | Counselor | 1644 Blushing Ct, Rochester Hills, MI 48307-3584 | 2020-05-07 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1982256525 | Amy Kim | Case Manager/Care Coordinator | 2101 Lake Ave, Baltimore, MD 21218-3129 | 2019-07-14 |
| 1679872899 | Amy Elizabeth Kim | Family Medicine | 9520 Ormsby Station Rd, Suite 175, Louisville, KY 40223-5017 | 2011-03-28 |
| 1427231216 | Amy K Kim | Internal Medicine | 720 Rutland Ave Ste 918, Baltimore, MD 21205-2109 | 2007-12-14 |
| 1578759254 | Amy Sung-ok Kim | Dentist | 619 Ridgewood Ct, Ann Arbor, MI 48103-6515 | 2007-09-17 |
| 1518594647 | Amy Jung In Kim | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-26 |
| 1619418035 | Amy Youyeun Kim | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke, Nassau Health Care Corporation, East Meadow, NY 11554-1859 | 2017-03-17 |
| 1780033399 | Amy Kim | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2016-06-06 |
| Street Address |
875 JOHNSON FERRY RD NE SUITE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1144564113 | Nina Singh | Physician Assistant | 875 Johnson Ferry Rd Ne, 300, Atlanta, GA 30342-1418 | 2012-11-15 |
| 1184870446 | Diana Ioana Dragoi | Nurse Practitioner | 875 Johnson Ferry Rd Ne, Atlanta, GA 30342-1418 | 2008-08-18 |
| 1124174776 | Moji Demi Ariyo | Internal Medicine | 875 Johnson Ferry Rd Ne, Atlanta, GA 30342-1418 | 2007-01-26 |
| 1184738239 | Cheryl D Buck-patterson | Internal Medicine | 875 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1418 | 2006-08-18 |
| 1154434611 | Golpar Ghassemian | Registered Nurse | 875 Johnson Ferry Rd Ne, Suite 170, Atlanta, GA 30342-1418 | 2006-08-17 |
| 1518997642 | Kimberly Ann Shumate | Internal Medicine | 875 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1418 | 2006-07-04 |
| 1942207535 | Lee A Coulter | Physician Assistant | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1205833894 | Metroderm, P.C. | Dermatology | 875 Johnson Ferry Rd Ne, Suite 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| 1063668762 | Medical Services of Northern Georgia, Inc. | Dermatology | 4060 Peachtree Rd Ne, #d284, Atlanta, GA 30319-3020 | 2008-08-13 |
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1710449079 | Forefront Dermatology, S.c. | Dermatology | 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342-1758 | 2019-04-04 |
| 1245780980 | Baucom & Mina Derm Surgery, LLC | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703 | 2016-10-06 |
| 1356507867 | Emory Medical Care Foundation | Dermatology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1538329149 | Mary Alice Nading Mina | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342 | 2008-06-17 |
| 1720100522 | Georgia Dermatologic Surgery Center, PC | Dermatology | 5555 Peachtree Dunwoody Rd Ne, Suite G65, Atlanta, GA 30342-1703 | 2007-04-04 |
| 1851421531 | Dermatology Consultants, P.C. | Dermatology | 2045 Peachtree Rd Ne, Suite 200, Atlanta, GA 30309-1414 | 2007-03-06 |
| 1487792404 | Atlanta Dermatologic Surgery Consultants, PC | Dermatology | 3193 Howell Mill Rd Nw, Suite 220, Atlanta, GA 30327-2119 | 2007-02-02 |
| Find all providers in ATLANTA | ||||
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| 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.