BETHESDA MEDICINE
NPI 1770380602
Nurse Practitioner - Psychiatric/Mental Health in Duluth, GA
About Bethesda Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHESDA MEDICINE (NPI 1770380602) is a healthcare organization registered as a psychiatric/mental health in Duluth, Georgia and active in the NPI registry since February 2025. The organization lists Jiyeon Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethesda Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bethesda Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bethesda Medicine's NPI number?
The NPI number for Bethesda Medicine is 1770380602. It was assigned to this organization in the NPPES registry on February 27, 2025.
Where is Bethesda Medicine located?
Bethesda Medicine is located at 2250 Satellite Blvd # 255-C, Duluth, GA 30097. The listed phone number is (678) 771-0099.
What is Bethesda Medicine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bethesda Medicine enrolled in Medicare?
Yes. Bethesda Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bethesda Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bethesda Medicine. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bethesda Medicine was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Bethesda Medicine · NPI 1770380602
Psychiatric/Mental Health organization in Duluth, Georgia. Organization record, active in the CMS NPPES registry since February 27, 2025.
## Identity
- **NPI:** 1770380602 (Entity type: Organization)
- **Enumerated:** February 27, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jiyeon Kim, OWNER
## Practice location
- **Address:** 2250 SATELLITE BLVD # 255-C, Duluth, GA 30097-4906
- **Phone:** (678) 771-0099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770380602) · Data from the CMS NPPES public registry.