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JINA Y. KIM MD
NPI 1114155702
Family Medicine in Duluth, GA

Active since June 23, 2009PECOS Enrolled
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100, DULUTH, GA 30096(678) 417-0332(678) 417-0313 Get Directions Write a Review

NPPES record last updated: December 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jina Y. Kim Md NPPES

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

JINA Y. KIM MD (NPI 1114155702) is an individual family medicine provider in Duluth, Georgia, licensed in Georgia (068656) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114155702
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJINA Y. KIMCredential: MD
Location Address3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100Duluth, GA 30096-4843
Mailing Address3610 Peachtree Industrial Blvd, Suite 100Duluth, GA 30096-4843 · (678) 417-0332 · Fax (678) 417-0313
Phone(678) 417-0332
Fax(678) 417-0313
Sole ProprietorNo
Enumeration DateJune 23, 2009
Last NPPES UpdateDecember 12, 2015
✔ NPI 1114155702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 068656✔ Licensed in SC · MD31877
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3610 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jina Y. Kim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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 6

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

DR. KONJIT ZENA PHARMD
Pharmacist
3610 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 476-7442
MRS. JIYEON KIM PA
Nurse Practitioner (Family)
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100
DULUTH, GA 30096
Gwinnett County (678) 417-0332
DREAM PHARMACY INC
Pharmacy
3610 PEACHTREE INDUSTRIAL BLVD, STE 400
DULUTH, GA 30096
Gwinnett County (770) 299-1971
MRS. MANISHA S JOSHI
Pharmacist
3610 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 476-7442
DREAM PHARMACY, INC.
Pharmacy
3610 PEACHTREE INDUSTRIAL BLVD, STE 400
DULUTH, GA 30096
Gwinnett County (770) 299-1971
MR. BADRINATH JAYANTHI
Pharmacist
3610 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (678) 462-6766

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 Jina Kim's NPI number?

The NPI number for Jina Kim is 1114155702. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Jina Kim located?

Jina Kim practices at 3610 Peachtree Industrial Blvd Suite 100, Duluth, GA 30096. The listed phone number is (678) 417-0332.

What is Jina Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jina Kim enrolled in Medicare?

Yes. Jina Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jina Kim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jina Kim 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 Jina Kim was last updated on December 12, 2015. 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.