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SUE LEE KIM CNP
NPI 1669130142
Nurse Practitioner - Family in Duluth, GA

Active since December 02, 2021PECOS Enrolled
3855 PLEASANT HILL RD STE 480, DULUTH, GA 30096(770) 623-6433(770) 623-6416 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Dec 2, 2021 (2 updates tracked since 2021).

About Sue Lee Kim Cnp NPPES

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

SUE LEE KIM CNP (NPI 1669130142) is an individual family provider in Duluth, Georgia, licensed in Georgia (RN208852) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669130142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE LEE KIMCredential: CNP
Location Address3855 PLEASANT HILL RD STE 480Duluth, GA 30096-8030
Mailing Address3855 Pleasant Hill Rd Ste 480Duluth, GA 30096-8030 · (770) 623-6433 · Fax (770) 623-6416
Phone(770) 623-6433
Fax(770) 623-6416
Sole ProprietorNo
Enumeration DateDecember 2, 2021
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1669130142 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 · RN208852
3855 PLEASANT HILL RD STE 480, Duluth, GA 30096
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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)

Sue Lee Kim Cnp 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.

Areas of Expertise CMS Part B claims

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.

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.
54 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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.

ARLETIS FERNANDEZ APRN
Nurse Practitioner
3855 PLEASANT HILL RD STE 480
DULUTH, GA 30096
Gwinnett County (770) 963-8030
JURI KUBES AGACNP-BC
Nurse Practitioner (Acute Care)
3855 PLEASANT HILL RD STE 480
DULUTH, GA 30096
Gwinnett County (770) 623-6433
SARA MUNROE STEWART CNP
Nurse Practitioner (Gerontology)
3855 PLEASANT HILL RD STE 480
DULUTH, GA 30096
Gwinnett County (770) 623-6433

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 Sue Kim's NPI number?

The NPI number for Sue Kim is 1669130142. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Sue Kim located?

Sue Kim practices at 3855 Pleasant Hill Rd Ste 480, Duluth, GA 30096. The listed phone number is (770) 623-6433.

What is Sue Kim's specialty?

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

Is Sue Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sue Kim was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.