DR. DAVIS YEON KIM MD
NPI 1477133429
Urology in Gainesville, GA

Q: What is Davis Kim's NPI number?

The NPI number for Davis Kim is 1477133429. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Davis Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Davis Kim was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 13, 2021PECOS Enrolled

1240 JESSE JEWELL PKWY SE STE 200, GAINESVILLE, GA 30501(770) 532-8438(770) 535-1785 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Apr 13, 2021 (2 updates tracked since 2021).

On this page

About Dr. Davis Yeon Kim Md NPPES

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

DR. DAVIS YEON KIM MD (NPI 1477133429) is an individual urology provider in Gainesville, Georgia, licensed in Georgia (114188) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1477133429

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. DAVIS YEON KIMCredential: MD

Location Address1240 JESSE JEWELL PKWY SE STE 200Gainesville, GA 30501-3861

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 848-8448

Phone(770) 532-8438

Fax(770) 535-1785

Sole ProprietorNo

Enumeration DateApril 13, 2021

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1477133429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in GA · 114188

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1240 JESSE JEWELL PKWY SE STE 200, Gainesville, GA 30501

Open in Google Maps ↗

Secondary Practice Location 1

Location 11365 Clifton Rd NE Ste B1400Atlanta, GA 30322-1013 · Phone (404) 778-4898 · Fax (404) 778-4006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Davis Yeon 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 Davis Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Georgia Physicians Group Inc

0.4 mi

Family Medicine

743 SPRING ST NE
Gainesville, GA 30501

Reassigned Medicare billing, Georgia enrollment
1,172 clinicians in this Medicare group

NPI 1891745212 (770) 219-9000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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 7

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

MRS. AMY ELISABETH WEEKS AGACNP

Nurse Practitioner (Gerontology)