DR. EUN SUNG KIM MD
NPI 1700580388
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 28, 2023PECOS Enrolled
677 CHURCH STREET, MARIETTA, GA 30060(770) 793-5721 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eun Sung Kim Md NPPES

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

DR. EUN SUNG KIM MD (NPI 1700580388) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700580388
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EUN SUNG KIMCredential: MD
Location Address677 CHURCH STREETMarietta, GA 30060
Mailing Address677 Church StreetMarietta, GA 30060
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1700580388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
677 CHURCH STREET, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eun Sung Kim Md 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.

Other Providers at the Same Location NPPES 18

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

Emergency Medicine
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Hospitalist
677 CHURCH STREET, WELLSTAR HOSPITALIST GROUP-WELLSTAR KENNESTONE HOSPITAL
MARIETTA, GA 30060
Psychiatry & Neurology (Neurocritical Care)
677 CHURCH STREET, SUITE 100N
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET
MARIETTA, GA 30060
Psychiatry & Neurology (Neurology)
677 CHURCH STREET, NEUROLOGY DEPARTMENT
MARUETTA, GA 30060
Anesthesiologist Assistant
677 CHURCH STREET
MARIETTA, GA 30060

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 Eun Sung Kim's NPI number?

The NPI number for Eun Sung Kim is 1700580388. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Eun Sung Kim located?

Eun Sung Kim practices at 677 Church Street, Marietta, GA 30060. The listed phone number is (770) 793-5721.

What is Eun Sung 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 Eun Sung Kim enrolled in Medicare?

Yes. Eun Sung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eun Sung Kim was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.