1. Home
  2. Directory
  3. Georgia
  4. Duluth
  5. Nurse Practitioner
  6. NPI Profile

MRS. JIYEON KIM PA
NPI 1154863520
Nurse Practitioner - Family in Duluth, GA

Active since November 16, 2016
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100, DULUTH, GA 30096(678) 417-0332(470) 200-2823 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jiyeon Kim Pa NPPES

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

MRS. JIYEON KIM PA (NPI 1154863520) is an individual family provider in Duluth, Georgia, licensed in Georgia (F0317639) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1154863520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JIYEON KIMCredential: PA
Location Address3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100Duluth, GA 30096-4953
Mailing Address3610 Peachtree Industrial Blvd, Suite 100Duluth, GA 30096-4953 · (678) 417-0332 · Fax (470) 200-2823
Phone(678) 417-0332
Fax(470) 200-2823
Sole ProprietorNo
Enumeration DateNovember 16, 2016
✔ NPI 1154863520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · F0317639
Also ListedNurse PractitionerTaxonomy 363L00000X · License F0317639 (GA)
3610 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096
Open in Google Maps ↗

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
JINA Y. KIM MD
Family Medicine
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100
DULUTH, GA 30096
Gwinnett County (678) 417-0332
DREAM PHARM 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 Jiyeon Kim's NPI number?

The NPI number for Jiyeon Kim is 1154863520. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Jiyeon Kim located?

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

What is Jiyeon Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jiyeon Kim was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.