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MARY M. KIM M.D.
NPI 1902880123
Internal Medicine in Watkinsville, GA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
1624 MARS HILL RD, SUITE B, WATKINSVILLE, GA 30677(706) 310-1030(706) 705-1444 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary M. Kim M.d. NPPES

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

MARY M. KIM M.D. (NPI 1902880123) is an individual internal medicine provider in Watkinsville, Georgia, licensed in Georgia (050031) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1998).

NPPES Registry Identity

NPI1902880123
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY M. KIMCredential: M.D.
Location Address1624 MARS HILL RD, SUITE BWatkinsville, GA 30677-4813
Mailing Address1624 Mars Hill Rd, Suite BWatkinsville, GA 30677-4813 · (706) 310-1030 · Fax (706) 705-1444
Phone(706) 310-1030
Fax(706) 705-1444
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 4, 2011
✔ NPI 1902880123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 050031
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1624 MARS HILL RD, Watkinsville, GA 30677
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Other Identifiers 3

Medicare UPINH46221GA
Medicare ID-Type Unspecified11BDSWWGA
Medicaid00904142AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary M. Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618952987
PECOS Enrollment IDI20040621001560
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
278 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
251 services142 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims37 services$4.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

OCONEE PRIMARY CARE, L.L.C.
Internal Medicine
1624 MARS HILL RD, SUITE B
WATKINSVILLE, GA 30677
Oconee County (404) 759-6436
RUTH QUICKE BROWN MSN, FNP-BC
Nurse Practitioner
1624 MARS HILL RD, SUITE B
WATKINSVILLE, GA 30677
Oconee County (706) 310-1030
TAYLOR SMITH KING
Nurse Practitioner (Family)
1624 MARS HILL RD
WATKINSVILLE, GA 30677
Oconee County (706) 310-1030

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 Mary Kim's NPI number?

The NPI number for Mary Kim is 1902880123. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Mary Kim located?

Mary Kim practices at 1624 Mars Hill Rd Suite B, Watkinsville, GA 30677. The listed phone number is (706) 310-1030.

What is Mary Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Kim enrolled in Medicare?

Yes. Mary Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Kim affiliated with any hospitals?

According to CMS data, Mary Kim is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Kim was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.