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HAE DONG KIM DO
NPI 1891585634
Student in an Organized Health Care Education/Training Program in Columbus, GA

Active since May 06, 2025PECOS Enrolled
1900 10TH AVE STE 100, COLUMBUS, GA 31901(706) 571-1120 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2025, May 7, 2025 (2 updates tracked since 2025).

About Hae Dong Kim Do NPPES

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

HAE DONG KIM DO (NPI 1891585634) is an individual student in an organized health care education/training program in Columbus, Georgia and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891585634
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAE DONG KIMCredential: DO
Location Address1900 10TH AVE STE 100Columbus, GA 31901-3601
Mailing Address1900 10th Ave Ste 100Columbus, GA 31901-3601
Phone(706) 571-1120
Sole ProprietorNo
Enumeration DateMay 6, 2025
Last NPPES UpdateAugust 16, 20252 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1891585634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 10TH AVE STE 100, Columbus, GA 31901
Open in Google Maps ↗

Other Names 1

Other Name (5)Josh Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hae Dong Kim Do 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.

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.

KARENDEEP KAUR GILL
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
AMBREEN KHAN MD
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
SARAH HANNA BAKR MD
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
ASHLEY ELIZABETH VARNER
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
DR. MANASA VALLURI MD
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
TAMIRES ROSALINO MORAES
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1000
UZOMA OBIJIOFOR
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (706) 571-1430
GIFTY ARTHUR MD
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Muscogee County (240) 910-0593

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 Hae Dong Kim's NPI number?

The NPI number for Hae Dong Kim is 1891585634. It was assigned to this individual provider in the NPPES registry on May 6, 2025. The provider is also known as Josh Kim.

Where is Hae Dong Kim located?

Hae Dong Kim practices at 1900 10th Ave Ste 100, Columbus, GA 31901. The listed phone number is (706) 571-1120.

What is Hae Dong Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hae Dong Kim enrolled in Medicare?

Yes. Hae Dong Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hae Dong Kim was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.