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EMILY MIMI KANG
NPI 1750763173
Internal Medicine in Duluth, GA

Active since June 22, 2015PECOS Enrolled
4855 RIVER GREEN PKWY STE 140, DULUTH, GA 30096(678) 417-0077 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2025, May 29, 2025, Jan 24, 2022 and 2 more (5 updates tracked since 2018).

About Emily Mimi Kang NPPES

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

EMILY MIMI KANG (NPI 1750763173) is an individual internal medicine provider in Duluth, Georgia, licensed in Georgia (79636) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750763173
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEMILY MIMI KANG
Location Address4855 RIVER GREEN PKWY STE 140Duluth, GA 30096-8333
Mailing Address4855 River Green Pkwy Ste 140Duluth, GA 30096-8333 · (678) 417-0077
Phone(678) 417-0077
Sole ProprietorNo
Enumeration DateJune 22, 2015
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1750763173 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 · 79636
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.
4855 RIVER GREEN PKWY STE 140, Duluth, GA 30096
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Other Names 1

Former Name (1)Dr. Emily Mimi Kim Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Mimi Kang 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 Reassignments

4

Medicare enrollment records show Emily Kang reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Young Won Kang M.D. P.C.
Same address
Clinic/Center
4855 RIVER GREEN PKWY, #140
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1447438874 (678) 417-0077
Northside Hospital, Inc.
1.0 mi
General Acute Care Hospital
3620 HOWELL FERRY RD
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1790715381 (678) 312-6800
Excelsior Healthcare Partners LLC
6.3 mi
Family Medicine
777 W PEACHTREE ST
Norcross, GA 30071
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1578305199 (770) 246-6100
The Southeast Permanente Medical Group
16 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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

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
$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 6

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

ABRAHAM LEE MD
Family Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
EVEREST HEALTH MANAGEMENT LLC
Internal Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
RUTH SOK
Nurse Practitioner (Family)
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
EVEREST HEALTHCARE PARTNERS LLC
Internal Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
YOUNG WON KANG MD
Internal Medicine (Adolescent Medicine)
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
RIVER PARC INTERNAL MEDICINE
Clinic/Center
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077

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 Emily Kang's NPI number?

The NPI number for Emily Kang is 1750763173. It was assigned to this individual provider in the NPPES registry on June 22, 2015. The provider is also known as Dr. Emily Mimi Kim MD.

Where is Emily Kang located?

Emily Kang practices at 4855 River Green Pkwy Ste 140, Duluth, GA 30096. The listed phone number is (678) 417-0077.

What is Emily Kang's specialty?

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

Is Emily Kang enrolled in Medicare?

Yes. Emily Kang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Kang reassigns Medicare benefits to 4 organizations: Young Won Kang M.D. P.C. (Duluth, GA), Northside Hospital, Inc. (Duluth, GA), Excelsior Healthcare Partners LLC (Norcross, GA) and The Southeast Permanente Medical Group (Atlanta, 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 Emily Kang'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 Emily Kang was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.