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GINA KIM NP-C
NPI 1629415880
Nurse Practitioner - Gerontology in Lawrenceville, GA

Active since May 29, 2013PECOS Enrolled
121 LANGLEY DR, LAWRENCEVILLE, GA 30046(770) 685-1300(770) 685-1311 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2021, Dec 3, 2020, Feb 6, 2020 (3 updates tracked since 2020).

About Gina Kim Np-c NPPES

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

GINA KIM NP-C (NPI 1629415880) is an individual gerontology provider in Lawrenceville, Georgia, licensed in Georgia (RN204356) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629415880
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameGINA KIMCredential: NP-C
Location Address121 LANGLEY DRLawrenceville, GA 30046-6930
Mailing Address121 Langley DrLawrenceville, GA 30046-6930 · (770) 685-1300 · Fax (770) 685-1311
Phone(770) 685-1300
Fax(770) 685-1311
Sole ProprietorNo
Enumeration DateMay 29, 2013
Last NPPES UpdateJune 7, 20213 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1629415880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in GA · RN204356✔ Licensed in GA · AG0513003
121 LANGLEY DR, Lawrenceville, GA 30046
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Kim Np-c 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 Gina Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hope Clinic, Inc.
Same address
Internal Medicine
121 LANGLEY DR
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1780803460 (770) 685-1300

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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 5

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

MRS. ANGELA Y BOLGER CRNP
Nurse Practitioner (Family)
121 LANGLEY DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 685-1300
NEHALI PATEL MSN, APRN, FNP-C
Nurse Practitioner (Family)
121 LANGLEY DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 685-1300
DR. DANIEL MORRIS GREENBERG M.D.
General Practice
121 LANGLEY DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 685-1300
HOPE CLINIC, INC.
Internal Medicine
121 LANGLEY DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 685-1300
DR. MICHAEL J SINEWAY MD
Internal Medicine
121 LANGLEY DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 685-1300

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 Gina Kim's NPI number?

The NPI number for Gina Kim is 1629415880. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Gina Kim located?

Gina Kim practices at 121 Langley Dr, Lawrenceville, GA 30046. The listed phone number is (770) 685-1300.

What is Gina Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Gina Kim enrolled in Medicare?

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

Which organization bills Medicare for Gina Kim's services?

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

When was this NPI record last updated?

The NPPES record for Gina Kim was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.