WONJUN BILLY KIM
NPI 1619853165
Student in an Organized Health Care Education/Training Program in Macon, GA
About Wonjun Billy Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WONJUN BILLY KIM (NPI 1619853165) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wonjun Billy Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MACON, GA 31207
MACON, GA 31207
MACON, GA 31207
MACON, GA 31207
MACON, GA 31207
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 Wonjun Kim's NPI number?
The NPI number for Wonjun Kim is 1619853165. It was assigned to this individual provider in the NPPES registry on August 12, 2025.
Where is Wonjun Kim located?
Wonjun Kim practices at 1550 College St, Macon, GA 31207. The listed phone number is (478) 301-2600.
What is Wonjun Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Wonjun Kim enrolled in Medicare?
Yes. Wonjun Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Wonjun Kim was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Wonjun Billy Kim · NPI 1619853165
Student in an Organized Health Care Education/Training Program provider in Macon, Georgia. Individual provider, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1619853165 (Entity type: Individual)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 COLLEGE ST, Macon, GA 31207-1500
- **Phone:** (478) 301-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619853165) · Data from the CMS NPPES public registry.