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

Active since January 24, 2024PECOS Enrolled
302 SATELLITE BLVD NE STE 109&110, SUWANEE, GA 30024(678) 369-9399 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 Suwanee, Georgia, licensed in Georgia (RN315429) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lilburn.

NPPES Registry Identity

NPI1790547818
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJANNET HAE JUNG SHIMCredential: AGNP-C
Location Address302 SATELLITE BLVD NE STE 109&110Suwanee, GA 30024-7181
Mailing Address302 Satellite Blvd Ne Ste 109&110Suwanee, GA 30024-7181 · (678) 369-9399
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
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)
302 SATELLITE BLVD NE STE 109&110, Suwanee, GA 30024

Secondary Practice Location 1

Location 1625 Beaver Ruin Rd NW Ste ELilburn, GA 30047-3407 · Phone (678) 369-9399

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 30024 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.

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 302 Satellite Blvd NE Ste 109&110, Suwanee, GA 30024. The listed phone number is (678) 369-9399.

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 May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.