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Deactivated NPI 1790034395 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Kwang Sung Kim , MD

Specialist • Norcross, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2012
NPI Deactivation Date June 26, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kim, MD was a registered Specialist practicing in Norcross, GA. Throughout an active medical career spanning 13 years, Dr. Kim provided care at the practice location at 6062 BUFORD HWY until profile deactivation on 2025-06-26.

Practice Location & Contact Primary Location

Practice Address

6062 Buford Hwy
Suite 114

Norcross, GA 300712424

Telephone 7705570203
Fax 6783955453
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Norcross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Norcross, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 140875

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tae Kim , PT

Physical Therapist

NPI 1538194808

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active May 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 03, 2014

Registered at 6062 BUFORD HWY, SUITE 114, NORCROSS, GA 300712424 (Tel: 7705570203)

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Updated Business Mailing Address May 03, 2014

Registered at 6062 BUFORD HWY, SUITE 114, NORCROSS, GA 300712424 (Tel: 7705570203)

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Provider Name / Credentials Updated May 03, 2014

Recorded as THOMAS KIM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2014

Specialist (License #140875 in NY)

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Initial NPI Registration & Enumeration August 29, 2012

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: 1790034395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2012
Last Update: May 03, 2014
Deactivation Date: June 26, 2025

Mailing Address

6062 Buford Hwy, Suite 114

Norcross, GA 300712424

Phone: 7705570203

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.