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MRS. BETTY HYUNJUNG KIM PMHNP
NPI 1205190410
Nurse Practitioner - Psychiatric/Mental Health in Berkeley Lake, GA

Active since July 02, 2012
4720 PEACHTREE INDUSTRIAL BLVD STE 4101, BERKELEY LAKE, GA 30071(678) 861-6463 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, May 21, 2026, Apr 27, 2026 (3 updates tracked since 2026).

About Mrs. Betty Hyunjung Kim Pmhnp NPPES

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

MRS. BETTY HYUNJUNG KIM PMHNP (NPI 1205190410) is an individual psychiatric/mental health provider in Berkeley Lake, Georgia, licensed in Georgia (306836) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1205190410
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. BETTY HYUNJUNG KIMCredential: PMHNP
Location Address4720 PEACHTREE INDUSTRIAL BLVD STE 4101Berkeley Lake, GA 30071-5737
Mailing Address4720 Peachtree Industrial Blvd Ste 4101Berkeley Lake, GA 30071-5737
Phone(678) 861-6463
Sole ProprietorYes
Enumeration DateJuly 2, 2012
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1205190410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 306836
4720 PEACHTREE INDUSTRIAL BLVD STE 4101, Berkeley Lake, GA 30071
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Other Names 1

Professional Name (2)Betty Kim

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

ANASTASIA CHRYSOSTOM MS
Counselor (Mental Health)
4720 PEACHTREE INDUSTRIAL BLVD STE 4101
BERKELEY LAKE, GA 30071
Gwinnett County (678) 992-5972
SHANAN LEEMAN M.S.
Counselor (Mental Health)
4720 PEACHTREE INDUSTRIAL BLVD STE 4101
BERKELEY LAKE, GA 30071
Gwinnett County (678) 861-6463
ANN GILLMAN LCSW
Social Worker (Clinical)
4720 PEACHTREE INDUSTRIAL BLVD STE 4101
BERKELEY LAKE, GA 30071
Gwinnett County (404) 919-8496
NEHA A KHURANA MD
Psychiatry & Neurology (Psychiatry)
4720 PEACHTREE INDUSTRIAL BLVD STE 4101
BERKELEY LAKE, GA 30071
Gwinnett County (678) 861-6463
RICHARD TODD SMITH APC
Counselor
4720 PEACHTREE INDUSTRIAL BLVD STE 4101
BERKELEY LAKE, GA 30071
Gwinnett County (404) 477-4881

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 Betty Kim's NPI number?

The NPI number for Betty Kim is 1205190410. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Betty Kim located?

Betty Kim practices at 4720 Peachtree Industrial Blvd Ste 4101, Berkeley Lake, GA 30071. The listed phone number is (678) 861-6463.

What is Betty Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Betty Kim was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.