MK PODIATRY LLC
NPI 1023461811
Podiatrist - Foot & Ankle Surgery in Lawrenceville, GA

Q: What is Mk Podiatry LLC's NPI number?

The NPI number for Mk Podiatry LLC is 1023461811. It was assigned to this organization in the NPPES registry on July 18, 2016.

Q: What is Mk Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Mk Podiatry LLC was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 18, 2016

1790 ATKINSON RD STE D200, LAWRENCEVILLE, GA 30043(404) 291-6473 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mk Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MK PODIATRY LLC (NPI 1023461811) is a healthcare organization registered as a foot & ankle surgery in Lawrenceville, Georgia and active in the NPI registry since July 2016. The organization lists Mi Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1023461811

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameMK PODIATRY LLC

Location Address1790 ATKINSON RD STE D200Lawrenceville, GA 30043-7991

Mailing Address1790 Atkinson Rd Ste D200Lawrenceville, GA 30043-7991

Phone(404) 291-6473

Organization SubpartNo

Authorized OfficialMi KimOwner · (404) 291-6473

Enumeration DateJuly 18, 2016

✔ NPI 1023461811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in GA · POD001300

1790 ATKINSON RD STE D200, Lawrenceville, GA 30043

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mk Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mk Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mi Kim, DPM

Podiatry

NPI 1699030163

1790 ATKINSON RD STE D200
Lawrenceville, GA 30043

(678) 731-7545

✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mk Podiatry LLC's NPI number?

The NPI number for Mk Podiatry LLC is 1023461811. It was assigned to this organization in the NPPES registry on July 18, 2016.

Where is Mk Podiatry LLC located?

Mk Podiatry LLC is located at 1790 Atkinson Rd Ste D200, Lawrenceville, GA 30043. The listed phone number is (404) 291-6473.

What is Mk Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mk Podiatry LLC enrolled in Medicare?

Yes. Mk Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mk Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Mk Podiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mk Podiatry LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mk Podiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mk Podiatry LLC was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.