DR. EUN SUNG KIM MD
NPI 1700580388
Student in an Organized Health Care Education/Training Program in Marietta, GA
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, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Eun Sung Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Eun Sung Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 61 clinicians in this Medicare group
Griffin, GA 30224
- Reassigned Medicare billing, Georgia enrollment
- 208 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 144 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARUETTA, 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Eun Sung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eun Sung Kim reassigns Medicare benefits to 4 organizations: The Bortolazzo Group, LLC (Austell, GA), North Fulton Emergency Physicians, LLC (Roswell, GA), Georgia Emergency Group, LLC (Griffin, GA) and Lagrange Emergency Physicians, LLC (Lagrange, GA). Each 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 Eun Sung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eun Sung Kim affiliated with any hospitals?
According to CMS data, Eun Sung Kim is affiliated with Wellstar Cobb Medical Center.
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.
# Dr. Eun Sung Kim, MD · NPI 1700580388
Student in an Organized Health Care Education/Training Program provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1700580388 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH STREET, Marietta, GA 30060
- **Phone:** (770) 793-5721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA); North Fulton Emergency Physicians, LLC (NPI 1053456954, Roswell, GA); Georgia Emergency Group, LLC (NPI 1952746638, Griffin, GA); Lagrange Emergency Physicians, LLC (NPI 1760437560, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700580388) · Data from the CMS NPPES public registry.