DO YOUNG KIM DO
NPI 1992408512
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 23, 2023PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Do Young Kim Do NPPES

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

DO YOUNG KIM DO (NPI 1992408512) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1992408512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDO YOUNG KIMCredential: DO
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address1425 Apple Orchard LnSnellville, GA 30078-6789 · (470) 440-0852
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
NPI 1992408512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
677 CHURCH ST NE, Marietta, GA 30060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Do Young Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395103014
PECOS Enrollment IDI20260603001434
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.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060

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 Do Young Kim's NPI number?

The NPI number for Do Young Kim is 1992408512. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Do Young Kim located?

Do Young Kim practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Do Young 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 Do Young Kim enrolled in Medicare?

Yes. Do Young Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Do Young Kim was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.