DR. EDA MOONHI KIM M.D.
NPI 1013306752
Family Medicine in Lawrenceville, GA
About Dr. Eda Moonhi Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDA MOONHI KIM M.D. (NPI 1013306752) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (73015) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of California, San Diego School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Eda Moonhi Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Eda Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
New York, NY 10012
- Reassigned Medicare billing, Georgia enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eda Kim's NPI number?
The NPI number for Eda Kim is 1013306752. It was assigned to this individual provider in the NPPES registry on January 19, 2015.
Where is Eda Kim located?
Eda Kim practices at 1600 N Brown Rd, Lawrenceville, GA 30043. The listed phone number is (678) 710-6872.
What is Eda Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Eda Kim enrolled in Medicare?
Yes. Eda Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Eda Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eda Kim reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Galileo Medical Group Ga, P.C. (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eda Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eda Kim was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Eda Moonhi Kim, M.D. · NPI 1013306752
Family Medicine physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since January 19, 2015.
## Identity
- **NPI:** 1013306752 (Entity type: Individual)
- **Enumerated:** January 19, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 73015 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 N BROWN RD, Lawrenceville, GA 30043-8141
- **Phone:** (678) 710-6872
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Galileo Medical Group Ga, P.C. (NPI 1245920305, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013306752) · Data from the CMS NPPES public registry.