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SEONG SOOL SHIM MD
NPI 1033199187
Psychiatry & Neurology - Psychiatry in Johns Creek, GA

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
10090 MEDLOCK BRIDGE RD STE 110, JOHNS CREEK, GA 30097(470) 482-6508(770) 476-9750 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Dec 17, 2025, Aug 6, 2024 (3 updates tracked since 2024).

About Seong Sool Shim Md NPPES

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

SEONG SOOL SHIM MD (NPI 1033199187) is an individual psychiatry provider in Johns Creek, Georgia, licensed in Georgia (78133) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1033199187
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSEONG SOOL SHIMCredential: MD
Location Address10090 MEDLOCK BRIDGE RD STE 110Johns Creek, GA 30097-4428
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(470) 482-6508
Fax(770) 476-9750
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1033199187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 78133
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10090 MEDLOCK BRIDGE RD STE 110, Johns Creek, GA 30097
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Other Identifiers 1

Medicaid171406OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seong Sool Shim Md 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.

PECOS PAC ID9133264609
PECOS Enrollment IDI20250228002432
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NELDA F YEE LPC, LMFT
Marriage & Family Therapist
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
SARAH KATHLEEN BATZEL LPC
Counselor (Professional)
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
MISS CHLOE GABRIELLE HARPER LMFT
Marriage & Family Therapist
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
SUSAN HOFFMAN
Counselor (Professional)
10090 MEDLOCK BRIDGE RD STE 110
DULUTH, GA 30097
Gwinnett County (470) 482-6508
JANET LORRAINE ADAMS LCSW
Social Worker (Clinical)
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
AKEELA DOSSA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
JEAN FRITZNEL CADET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508
RAKIA TYNETTA MALACHI LPC
Counselor (Professional)
10090 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (470) 482-6508

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 Seong Shim's NPI number?

The NPI number for Seong Shim is 1033199187. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Seong Shim located?

Seong Shim practices at 10090 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097. The listed phone number is (470) 482-6508.

What is Seong Shim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Seong Shim enrolled in Medicare?

Yes. Seong Shim 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.

When was this NPI record last updated?

The NPPES record for Seong Shim was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.