JENNIFER LEE KIM (NPI# 1811286149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811286149 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE KIM |
| Credential | MD |
| Practice Address |
1000 Corporate Center Dr Suite 100 Morrow GA 30260-4180 |
| Practice Telephone | 7709688888 |
| Practice Fax Number | 7709602473 |
| Mailing Telephone | 7709688888 |
| Mailing Fax Number | 7709602473 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 074038 | GA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 38366 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EYE CARE CENTERS MANAGEMENT, INC. D/B/A CLAYTON EYE CENTER | 581787543 | 01 | |
| GA | 003181756A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837672 | Jennifer Kim | Physician Assistant | 18 Candy Ln, Syosset, NY 11791-4908 | 2019-02-14 |
| 1013402692 | Jennifer Park Kim | Dentist | 1671 Ih 35 E Ste 300, New Braunfels, TX 78130-6823 | 2018-06-26 |
| 1245756527 | Jennifer Kim | Behavior Technician | 7085 Tierra Roja St, El Paso, TX 79912-8492 | 2017-08-17 |
| 1205364650 | Jennifer Kim | Marriage & Family Therapist | 294 Harrington Ave Ste 6, Closter, NJ 07624-1912 | 2017-05-30 |
| 1790217115 | Jennifer Eunji Kim | Dentist | 1170 Lockhaven Way, San Jose, CA 95129-4031 | 2017-04-03 |
| 1588111645 | Jennifer Kim | Counselor | 323 N Serrano Ave Apt A, Los Angeles, CA 90004-2789 | 2016-09-07 |
| 1447614755 | Jennifer Hyun Kim | Pharmacist | 14433 Culver Dr, Irvine, CA 92604-0305 | 2016-04-12 |
| 1487035523 | Jennifer Kim | Student in an Organized Health Care Education/Training Program | 19925 22nd Ave, Whitestone, NY 11357-4121 | 2015-06-15 |
| 1255734778 | Jennifer Kim | Family Medicine | 4 E Clark Bass Blvd Ste 300, Mcalester, OK 74501-4269 | 2014-09-29 |
| 1174954879 | Jennifer Kim | Social Worker | 200 I St Se, Washington, DC 20003-3317 | 2013-12-05 |
| Street Address |
1000 CORPORATE CENTER DR SUITE 100 |
| City | MORROW |
| State | GA |
| Zip Code | 30260-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519237 | George W Brown Iv | Family Medicine | 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260-4129 | 2005-06-22 |
| 1396126397 | Davon L Thomas | Family Medicine | 1000 Corporate Center Dr, Morrow, GA 30260-4180 | 2015-06-15 |
| 1790198919 | Sydney Reynolds Deal | Family Medicine | 1000 Corporate Center Dr, Morrow, GA 30260 | 2014-06-05 |
| 1003171166 | Rana Botlani Esfahani | Family Medicine | 1000 Corporate Center Dr, Ste 200, Morrow, GA 30260-4180 | 2012-07-05 |
| 1306129648 | Oyedoyin Oyelowo | Family Medicine | 1000 Corporate Center Dr, Morrow, GA 30260-4180 | 2011-09-22 |
| 1114212552 | Gabriella Eliese Maris | Family Medicine | 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260-4180 | 2011-06-14 |
| 1417268186 | Kenneth Emeka Akalonu | Family Medicine | 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260-4180 | 2010-06-28 |
| 1356581052 | Patrice N. Pearson | Family Medicine | 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260-4180 | 2009-02-20 |
| 1962657296 | Tanya Isabel Vieira Cabrita | Family Medicine | 1000 Corporate Center Dr, 200, Morrow, GA 30260-4180 | 2008-12-01 |
| 1790939726 | Tenet Health | Clinic/Center | 1000 Corporate Center Dr, Suite 200, Morrow, GA 30260-4180 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679969935 | John Coghlan Allen | Ophthalmology | 1000 Corporate Center Dr Ste 100, Morrow, GA 30260-4106 | 2015-04-13 |
| 1942295233 | Joon Y Kim | Ophthalmology | 1000 Corporate Center Dr, Ste 100, Morrow, GA 30260-4180 | 2005-09-13 |
| 1306830807 | Harvey B Dubiner | Ophthalmology | 1000 Corporate Center Dr, Ste 100, Morrow, GA 30260-4180 | 2005-09-12 |
| 1174520670 | Ronald S Weber | Ophthalmology | 1000 Corporate Center Dr, Suite 100, Morrow, GA 30260-4180 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
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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.