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GRACE KIM KOO FNP-C
NPI 1093058976
Nurse Practitioner - Family in Cumming, GA

Active since March 29, 2013PECOS Enrolled
514 W MAPLE ST STE 306, CUMMING, GA 30040(678) 455-9885(678) 455-9885 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2019, Jul 29, 2019 (2 updates tracked since 2019).

About Grace Kim Koo Fnp-c NPPES

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

GRACE KIM KOO FNP-C (NPI 1093058976) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN218400) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1093058976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE KIM KOOCredential: FNP-C
Location Address514 W MAPLE ST STE 306Cumming, GA 30040-2420
Mailing Address514 W Maple St, Ste 306Cumming, GA 30040-2420 · (678) 455-9882 · Fax (678) 455-9885
Phone(678) 455-9885
Fax(678) 455-9885
Sole ProprietorNo
Enumeration DateMarch 29, 2013
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
✔ NPI 1093058976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN218400✔ Licensed in VA · 0024171736✔ Licensed in TN · 18490
514 W MAPLE ST STE 306, Cumming, GA 30040
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Secondary Practice Location 1

Location 12205 Pavilion Dr, Suite 310Kingsport, TN 37660-4641 · Phone (423) 224-3900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Kim Koo Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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

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

HEALTHSTAT ONSITE CLINIC-FORSYTH COUNTY
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
514 W MAPLE ST STE 306
CUMMING, GA 30040
Forsyth County (704) 529-6161

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 Grace Koo's NPI number?

The NPI number for Grace Koo is 1093058976. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Grace Koo located?

Grace Koo practices at 514 W Maple St Ste 306, Cumming, GA 30040. The listed phone number is (678) 455-9885.

What is Grace Koo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Koo enrolled in Medicare?

Yes. Grace Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Koo was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.