Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316478910 Individual Practitioner Female Practitioner

Dr. Gina Kim , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gina Kim, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 9 years of clinical experience since graduating from University Of Virginia School Of Medicine in 2017, Dr. Kim delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Kim maintains professional affiliations with University Of Alabama Health Services Foundation, Pc, Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -13.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (9 Years) 9 Yrs
Jacksonville Specialty Average (22.4 Years) 22.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME177340

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL MD.48592

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

University Of Alabama Health Services Foundation, Pc

619 19th St S, Birmingham, AL 352460001

Phone: 2059343460

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

111 E 210th St

Bronx, NY 104672401

Phone: 7189204800

1201 11th Ave S

Birmingham, AL 352053423

Phone: 2059307100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 05, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤
Provider Name / Credentials Updated November 05, 2025

Recorded as GINA KIM, MD

📍
Updated Practice Location August 06, 2024

Registered at 1201 11TH AVE S, BIRMINGHAM, AL 352053423 (Tel: 2059307100)

📍
Updated Business Mailing Address August 06, 2024

Registered at PO BOX 55310, BIRMINGHAM, AL 352555310 (Tel: 2057319701)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2024

Surgery (License #MD.48592 in AL)

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204800)

📍
Updated Business Mailing Address March 24, 2017

Registered at 13972 LIGHTBURN LN, CENTREVILLE, VA 20121 (Tel: 7033502974)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as GINA KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316478910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2017
Last Update: November 05, 2025
Sole Proprietor: No

Mailing Address

Po Box 55310

Birmingham, AL 352555310

Phone: 2057319701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.