AUSTIN YUNG KYO KIM
NPI 1508755778
Anesthesiologist Assistant in Lawrenceville, GA

Q: What is the provider's specialty?

The provider's specialty is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since July 01, 2025Accepts Medicare Assignment

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Jul 1, 2025 (2 updates tracked since 2025).

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About Austin Yung Kyo Kim NPPES

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

AUSTIN YUNG KYO KIM (NPI 1508755778) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Georgia (13315) and active in the NPI registry since July 2025. He is affiliated with Northside Hospital Gwinnett and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508755778

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameAUSTIN YUNG KYO KIM

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address357 Canterbury Place DrSuwanee, GA 30024-7498 · (404) 644-4404

Phone(678) 312-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 1, 2025

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1508755778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 13315

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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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

Austin Yung Kyo 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 ID4082118286

PECOS Enrollment IDI20250919002615

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

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.

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