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REO JIN KIM NP
NPI 1588339170
Nurse Practitioner - Family in Johns Creek, GA

Active since August 16, 2021PECOS Enrolled
10710 MEDLOCK BRIDGE RD STE 200, JOHNS CREEK, GA 30097(770) 497-4188 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reo Jin Kim Np NPPES

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

REO JIN KIM NP (NPI 1588339170) is an individual family provider in Johns Creek, Georgia, licensed in Georgia (RN202224) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588339170
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREO JIN KIMCredential: NP
Location Address10710 MEDLOCK BRIDGE RD STE 200Johns Creek, GA 30097-1998
Mailing Address10710 Medlock Bridge Rd Ste 200Johns Creek, GA 30097-1998 · (704) 974-1887
Phone(770) 497-4188
Sole ProprietorNo
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1588339170 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 · RN202224
10710 MEDLOCK BRIDGE RD STE 200, Johns Creek, GA 30097
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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 (PECOS)

Reo Jin Kim Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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 3

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

REBEKAH HEE JIN PARK
Family Medicine
10710 MEDLOCK BRIDGE RD STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-4188
SUNYOUNG HA
Nurse Practitioner
10710 MEDLOCK BRIDGE RD STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-4188
SUNG HEE AN CRNP
Nurse Practitioner (Family)
10710 MEDLOCK BRIDGE RD STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-4188

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 Reo Kim's NPI number?

The NPI number for Reo Kim is 1588339170. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Reo Kim located?

Reo Kim practices at 10710 Medlock Bridge Rd Ste 200, Johns Creek, GA 30097. The listed phone number is (770) 497-4188.

What is Reo Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reo Kim enrolled in Medicare?

Yes. Reo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reo Kim was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.