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JENNY KIM
NPI 1275418980
Physician Assistant - Medical in Cumming, GA

Active since August 11, 2025
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, CUMMING, GA 30040(404) 446-0600(404) 446-0601 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenny Kim NPPES

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

JENNY KIM (NPI 1275418980) is an individual medical provider in Cumming, Georgia, licensed in Georgia (13291) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1275418980
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNY KIM
Location Address4150 DEP BILL CANTRELL MEMORIAL RD STE 290Cumming, GA 30040-3002
Mailing Address4150 Dep Bill Cantrell Memorial Rd Ste 290Cumming, GA 30040-3002 · (404) 446-0600 · Fax (404) 446-0601
Phone(404) 446-0600
Fax(404) 446-0601
Sole ProprietorNo
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1275418980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 13291
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, Cumming, GA 30040
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Other Providers at the Same Location NPPES

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

VALERIE MARIE AVALLONE FNP-C
Nurse Practitioner (Family)
4150 DEP BILL CANTRELL MEMORIAL RD STE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600

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 Jenny Kim's NPI number?

The NPI number for Jenny Kim is 1275418980. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Jenny Kim located?

Jenny Kim practices at 4150 Dep Bill Cantrell Memorial Rd Ste 290, Cumming, GA 30040. The listed phone number is (404) 446-0600.

What is Jenny Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jenny Kim was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.