MAGGIE MOON KIM
NPI 1558227975
Nurse Practitioner in Atlanta, GA

Active since December 30, 2025PECOS EnrolledAccepts Medicare Assignment
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-7731 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Dec 30, 2025 (2 updates tracked since 2025).

About Maggie Moon Kim NPPES

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

MAGGIE MOON KIM (NPI 1558227975) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN199213) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1558227975
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAGGIE MOON KIM
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059 · (404) 712-7731
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2025
Enumeration DateDecember 30, 2025
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1558227975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN199213
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1364 CLIFTON RD NE, Atlanta, GA 30322

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

Maggie Moon 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 ID3375010028
PECOS Enrollment IDI20260430000352
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 Maggie Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 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.

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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 20

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

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Maggie Kim's NPI number?

The NPI number for Maggie Kim is 1558227975. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Where is Maggie Kim located?

Maggie Kim practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-7731.

What is Maggie Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Maggie Kim enrolled in Medicare?

Yes. Maggie 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 organization bills Medicare for Maggie Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Kim reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, 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 Maggie Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maggie Kim affiliated with any hospitals?

According to CMS data, Maggie Kim is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Maggie Kim was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.