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DAVID KIM PA-C
NPI 1790341691
Physician Assistant in Alpharetta, GA

Active since May 15, 2019PECOS Enrolled
87.25/100
CMS Quality Rating
3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022(770) 442-1911(770) 442-0306 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Oct 5, 2021, Dec 2, 2020 and 3 more (6 updates tracked since 2019).

About David Kim Pa-c NPPES

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

DAVID KIM PA-C (NPI 1790341691) is an individual physician assistant in Alpharetta, Georgia, licensed in Georgia (9515) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790341691
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID KIMCredential: PA-C
Location Address3905 BROOKSIDE PKWY STE 300Alpharetta, GA 30022-4458
Mailing AddressPo Box 117598Atlanta, GA 30368-7598 · (770) 442-1911 · Fax (770) 442-0306
Phone(770) 442-1911
Fax(770) 442-0306
Sole ProprietorYes
Enumeration DateMay 15, 2019
Last NPPES UpdateMay 8, 20266 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1790341691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 9515
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3905 BROOKSIDE PKWY STE 300, Alpharetta, GA 30022
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11800 Northside Forsyth Dr Ste 450Cumming, GA 30041-8483 · Phone (678) 947-6440 · Fax (678) 513-4764
Location 24235 Johns Creek Pkwy Ste ASuwanee, GA 30024-6038 · Phone (678) 402-9550 · Fax (678) 802-5765

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Kim Pa-c 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 30022 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. LUCE W. SOLARI-SUPRENA ARNP, FNP-BC
Nurse Practitioner (Primary Care)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
JENNIFER SADDANATHAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
GINA LEEANN BAUKNECHT FNP-C
Nurse Practitioner (Family)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
DR. SATISHKUMAR MUDDURANGANATH GANJAM MD
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
MRS. JENNIFER LYNN KAMRASS APRN, FNP-C
Nurse Practitioner (Family)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
SOUTHEAST MEDICAL GROUP, P.C.
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
CHUNG YOON M.D.
Internal Medicine (Cardiovascular Disease)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
DR. DANIELLE WILLIAMSON LIN MD
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911

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 David Kim's NPI number?

The NPI number for David Kim is 1790341691. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is David Kim located?

David Kim practices at 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022. The listed phone number is (770) 442-1911.

What is David Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Kim was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.