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: July 19, 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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30040 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES

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

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
514 W MAPLE ST STE 306
CUMMING, GA 30040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093058976, enumerated as an "individual" on March 29, 2013.

The provider is located at 514 W MAPLE ST STE 306 CUMMING, GA 30040 and the phone number is (678) 455-9885.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.