JENNY JIN SHIM MD
NPI 1043552425
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Q: What is Jenny Shim's NPI number?

The NPI number for Jenny Shim is 1043552425. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Q: What is Jenny Shim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Shim was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 23, 2013PECOS Enrolled

2220 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-1112(404) 785-6288 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jun 6, 2022, Jun 25, 2021 and 1 more (4 updates tracked since 2019).

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About Jenny Jin Shim Md NPPES

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

JENNY JIN SHIM MD (NPI 1043552425) is an individual pediatric hematology-oncology provider in Atlanta, Georgia, licensed in Georgia (75899) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043552425

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameJENNY JIN SHIMCredential: MD

Location Address2220 N DRUID HILLS RD NEAtlanta, GA 30329-3117

Mailing Address1760 Haygood Dr Ne, Hsrb1 E356Atlanta, GA 30322-3117

Phone(404) 785-1112

Fax(404) 785-6288

Sole ProprietorNo

Enumeration DateMarch 23, 2013

Last NPPES UpdateOctober 8, 20244 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1043552425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in GA · 75899

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

2220 N DRUID HILLS RD NE, Atlanta, GA 30329

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Jin Shim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. JOEL A. FRIEDLANDER DO

Pediatrics (Pediatric Gastroenterology)