DASOM KIM
NPI 1437937992
Nurse Practitioner - Family in Dacula, GA
About Dasom Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DASOM KIM (NPI 1437937992) is an individual family provider in Dacula, Georgia, licensed in Georgia (RN281091) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dasom Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dasom Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Spring, TX 77373
- Reassigned Medicare billing, Georgia enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dasom Kim's NPI number?
The NPI number for Dasom Kim is 1437937992. It was assigned to this individual provider in the NPPES registry on September 18, 2023. The provider is also known as Kristen Kim.
Where is Dasom Kim located?
Dasom Kim practices at 3027 Jim Moore Rd, Dacula, GA 30019. The listed phone number is (866) 389-2727.
What is Dasom Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dasom Kim enrolled in Medicare?
Yes. Dasom Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dasom Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dasom Kim reassigns Medicare benefits to 2 organizations: Minuteclinic LLC (Rockville, MD) and Primary Care PLLC (Spring, TX). Each 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 Dasom Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dasom Kim accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Dasom Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dasom Kim was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dasom Kim · NPI 1437937992
Family physician in Dacula, Georgia. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1437937992 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN281091 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3027 JIM MOORE RD, Dacula, GA 30019-1144
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic LLC (NPI 1134191836, Rockville, MD); Primary Care PLLC (NPI 1770354763, Spring, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437937992) · Data from the CMS NPPES public registry.