Dr Jenny Christine Kim, MD | |
484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | |
(404) 297-4230 | |
(404) 297-4252 |
Full Name | Dr Jenny Christine Kim |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 25 Years |
Location | 484 Irvin Ct, Decatur, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275531907 | NPI | - | NPPES |
862450770C | Medicaid | GA | |
862450770W | Medicaid | GA | |
862450770B | Medicaid | GA | |
862450770U | Medicaid | GA | |
862450770A | Medicaid | GA | |
862450770D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0012X | Otolaryngology - Sleep Medicine | 054440 (Georgia) | Secondary |
207Y00000X | Otolaryngology | 054440 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent Of Georgia, Llc | 1557254109 | 9 |
Georgia Surgical Professional Services Llc | 3375774011 | 47 |
Entity Name | Ent Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922046424 PECOS PAC ID: 1557254109 Enrollment ID: O20040206000068 |
Entity Name | Georgia Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801224506 PECOS PAC ID: 3375774011 Enrollment ID: O20140324000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenny Christine Kim, MD Northside Hospital- Managed Care Dept, 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 Ph: (404) 297-4230 | Dr Jenny Christine Kim, MD 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 Ph: (404) 297-4230 |
Shivan H Amin, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2675 N Decatur Rd, Ste 707, Decatur, GA 30033 Phone: 404-501-7710 Fax: 404-501-7215 | |
Dr. Melissa Soo-yung Oh, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 484 Irvin Ct Ste 140, Decatur, GA 30030 Phone: 404-297-4230 Fax: 404-297-4252 | |
Preston Leigh Imhof, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2675 N Decatur Rd, Suite 707, Decatur, GA 30033 Phone: 404-501-7710 | |
Dr. Michelle Marie Cullen, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Thomas Strother Edwards, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2675 N Decatur Rd Ste 707, Decatur, GA 30033 Phone: 404-501-7710 |