JANNET HAE JUNG SHIM AGNP-C
NPI 1790547818
Nurse Practitioner - Primary Care in Tucker, GA
About Jannet Hae Jung Shim Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANNET HAE JUNG SHIM AGNP-C (NPI 1790547818) is an individual primary care provider in Tucker, Georgia, licensed in Georgia (RN315429) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jannet Hae Jung Shim Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jannet Shim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lilburn, GA 30047
- Reassigned Medicare billing, Georgia enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
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 Jannet Shim's NPI number?
The NPI number for Jannet Shim is 1790547818. It was assigned to this individual provider in the NPPES registry on January 24, 2024.
Where is Jannet Shim located?
Jannet Shim practices at 1468 Montreal Rd, Tucker, GA 30084. The listed phone number is (770) 638-1400.
What is Jannet Shim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jannet Shim enrolled in Medicare?
Yes. Jannet Shim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jannet Shim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jannet Shim reassigns Medicare benefits to Truecare Medical LLC (Lilburn, GA). The 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 Jannet Shim'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 Jannet Shim 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 31 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.
# Jannet Hae Jung Shim, AGNP-C · NPI 1790547818
Primary Care physician in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since January 24, 2024.
## Identity
- **NPI:** 1790547818 (Entity type: Individual)
- **Enumerated:** January 24, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN315429 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1468 MONTREAL RD, Tucker, GA 30084-6901
- **Phone:** (770) 638-1400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Truecare Medical LLC (NPI 1528731205, Lilburn, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790547818) · Data from the CMS NPPES public registry.