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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YEONGJIN KIM MD
NPI 1740021096
Internal Medicine in Lawrenceville, GA

Active since June 03, 2024PECOS Enrolled
475 PHILIP BLVD, LAWRENCEVILLE, GA 30046(678) 884-0155 Get Directions Write a Review

NPPES record last updated: September 20, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 20, 2026, Jul 22, 2024, Jun 3, 2024 (3 updates tracked since 2024).

About Yeongjin Kim Md NPPES

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

YEONGJIN KIM MD (NPI 1740021096) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (113654) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740021096
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYEONGJIN KIMCredential: MD
Location Address475 PHILIP BLVDLawrenceville, GA 30046-8737
Mailing Address475 Philip BlvdLawrenceville, GA 30046-8737 · (678) 884-0155
Phone(678) 884-0155
Sole ProprietorNo
Enumeration DateJune 3, 2024
Last NPPES UpdateSeptember 20, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2026
✔ NPI 1740021096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 113654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
475 PHILIP BLVD, Lawrenceville, GA 30046
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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)

Yeongjin 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.

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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 13

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

ESTHER MODUPE DAY AGPCNP-BC
Nurse Practitioner (Gerontology)
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
DR. NED B. ARMSTRONG MD
Orthopaedic Surgery
475 PHILIP BLVD, STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
NISHITH OZA PT
Physical Therapist
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
DR. WILLIAM ALEXANDER ADAMS MD
General Practice
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 884-0155
DR. EUGENE HWANG M.D.
Family Medicine
475 PHILIP BLVD, SUITE #100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
DR. TENAADAM ASRAT TSEGA MD
Internal Medicine
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
JENNY LE
Nurse Practitioner (Family)
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300
GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
475 PHILIP BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-3300

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 Yeongjin Kim's NPI number?

The NPI number for Yeongjin Kim is 1740021096. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Yeongjin Kim located?

Yeongjin Kim practices at 475 Philip Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 884-0155.

What is Yeongjin Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yeongjin Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Yeongjin Kim was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.