DASOM KIM
NPI 1437937992
Nurse Practitioner - Family in Dacula, GA

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment
3027 JIM MOORE RD, DACULA, GA 30019(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1437937992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDASOM KIM
Location Address3027 JIM MOORE RDDacula, GA 30019-1144
Mailing Address1845 Wellston DrLawrenceville, GA 30043-9507
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 18, 2023
Last NPPES UpdateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
NPI 1437937992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN281091
3027 JIM MOORE RD, Dacula, GA 30019

Other Names 1

Professional Name (2)Kristen Kim

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7810346756
PECOS Enrollment IDI20231218001392
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.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
20 services20 patients

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
3027 JIM MOORE RD
DACULA, GA 30019
Nurse Practitioner (Family)
3027 JIM MOORE RD
DACULA, GA 30019
Pharmacy
3027 JIM MOORE RD
DACULA, GA 30019
Pharmacist
3027 JIM MOORE RD
DACULA, GA 30019
Nurse Practitioner (Family)
3027 JIM MOORE RD
DACULA, GA 30019
Pharmacist
3027 JIM MOORE RD
DACULA, GA 30019
Pharmacist
3027 JIM MOORE RD
DACULA, GA 30019
Pharmacist
3027 JIM MOORE RD
DACULA, GA 30019

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.

When was this NPI record last updated?

The NPPES record for Dasom Kim was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.