ALICE KIM
NPI 1265039804
Counselor - Professional in Atlanta, GA
About Alice Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE KIM (NPI 1265039804) is an individual professional provider in Atlanta, Georgia and active in the NPI registry since October 2020. She has opted out of Medicare through March 15, 2028 and maintains a secondary practice location in Kennesaw.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Alice Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30305
ATLANTA, GA 30305
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 Alice Kim's NPI number?
The NPI number for Alice Kim is 1265039804. It was assigned to this individual provider in the NPPES registry on October 6, 2020.
Where is Alice Kim located?
Alice Kim practices at 2964 Peachtree Rd NW Ste 760, Atlanta, GA 30305. The listed phone number is (236) 924-0404.
What is Alice Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Alice Kim enrolled in Medicare?
No. Alice Kim has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Alice Kim was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alice Kim · NPI 1265039804
Professional provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since October 6, 2020.
## Identity
- **NPI:** 1265039804 (Entity type: Individual)
- **Enumerated:** October 6, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2964 PEACHTREE RD NW STE 760, Atlanta, GA 30305-2220
- **Phone:** (236) 924-0404
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 15, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265039804) · Data from the CMS NPPES public registry.