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

JANNET HAE JUNG SHIM AGNP-C
NPI 1790547818
Nurse Practitioner - Primary Care in Tucker, GA

Active since January 24, 2024PECOS Enrolled
1468 MONTREAL RD, TUCKER, GA 30084(770) 638-1400 Get Directions Write a Review

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

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

NPI1790547818
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJANNET HAE JUNG SHIMCredential: AGNP-C
Location Address1468 MONTREAL RDTucker, GA 30084-6901
Mailing Address1468 Montreal RdTucker, GA 30084-6901 · (770) 638-1400
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
Last NPPES UpdateSeptember 20, 2026
NPPES CertifiedSeptember 20, 2026
✔ NPI 1790547818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN315429
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN315429 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN315429 (GA)
1468 MONTREAL RD, Tucker, GA 30084

Accepted Insurance

Medicare Participation & PECOS CMS

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

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).

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 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.

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
$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 20

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

Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner (Family)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Interventional Cardiology)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner
1468 MONTREAL RD
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.

What insurance does Jannet Shim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jannet Shim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 10 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.