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JOHN KIM MD
NPI 1407896764
Anesthesiology in Atlanta, GA

Active since June 07, 2006PECOS Enrolled
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-2008(404) 785-4496 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About John Kim Md NPPES

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

JOHN KIM MD (NPI 1407896764) is an individual anesthesiology provider in Atlanta, Georgia, licensed in Georgia (43676) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407896764
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJOHN KIMCredential: MD
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (404) 785-2008 · Fax (404) 785-4496
Phone(404) 785-2008
Fax(404) 785-4496
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1407896764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in GA · 43676
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1001 JOHNSON FY RD NE, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John 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.

Medicare Billing Reassignment

Medicare enrollment records show John Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Anesthesia Services, LLC
5.3 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ANDREA CENTER CPNP
Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-5437
JIAQI TRACY LI PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
KATE DANIELS
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Fulton County (404) 785-2157
JONATHAN WERNER PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
ANDREA KAYLYNE TAYLOR
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (706) 851-7597
ALEXIS BYRNE CARTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2069
MARK DOOLEY PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
LAMA FERNANDEZ PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008

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 John Kim's NPI number?

The NPI number for John Kim is 1407896764. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is John Kim located?

John Kim practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-2008.

What is John Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is John Kim enrolled in Medicare?

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

Which organization bills Medicare for John Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kim reassigns Medicare benefits to Children's Anesthesia Services, LLC (Brookhaven, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on June 6, 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.