Active NPI 1922057702 Individual Practitioner Male Practitioner

Dr. Jinahn Kim , MD

Internal Medicine • Suwanee, GA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jinahn Kim, MD is a certified Internal Medicine practicing in Suwanee, GA. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Kim delivers high-quality medical care to the local community at 1325 SATELLITE BLVD..

Dr. Kim is affiliated with Jk Internal Medicine And Geriatrics,Pc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 Satellite Blvd.
Bldg. 700, Ste 701a

Suwanee, GA 300244651

Telephone 6784171255

Fax 6784171258

Associated Practice Facility / Clinic

🏢 Jk Internal Medicine & Geriatrics,pc Facility NPI 1649460437

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Suwanee, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Suwanee, GA (4065 Statewide)

Telehealth Adoption Rate

30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (36 Years) 36 Yrs

Suwanee Specialty Average (24.7 Years) 24.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	138	$290.00	$122.83
99213 Established patient office or other outpatient visit, typically 15 minutes	243	94	$205.00	$87.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	145	100	$64.03	$60.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg	130	24	$20.00	$0.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$170.00	$125.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	44	$50.00	$13.68
G0008 Administration of influenza virus vaccine	71	70	$35.00	$32.05
90662 Influenza vaccine split virus, preservative free	53	53	$82.74	$77.55
90480 Admn sarscov2 vacc 1 dose	25	25	$100.00	$40.59
91320 Sarscv2 vac 30mcg trs-suc im	25	25	$206.40	$145.14
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$130.00	$37.37
71046 X-ray of chest, 2 views	20	19	$100.00	$32.13
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$75.00	$13.64
J1885 Injection, ketorolac tromethamine, per 15 mg	18	13	$50.00	$0.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$375.00	$159.91
86580 Skin test for tuberculosis	11	11	$25.00	$9.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	163	$290.00	$122.64
99213 Established patient office or other outpatient visit, typically 15 minutes	245	116	$205.00	$86.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	153	111	$64.03	$59.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$170.00	$123.12
G0008 Administration of influenza virus vaccine	90	90	$35.00	$30.52
90662 Influenza vaccine split virus, preservative free	82	82	$80.00	$68.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	78	21	$20.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	47	$50.00	$13.50
90480 Admn sarscov2 vacc 1 dose	49	49	$100.00	$40.69
91320 Sarscv2 vac 30mcg trs-suc im	49	49	$166.33	$122.06
71046 X-ray of chest, 2 views	25	24	$100.00	$32.56
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$130.00	$36.75
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$75.00	$13.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$375.00	$159.44
76700 Ultrasound of abdomen	15	15	$300.00	$114.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$200.00	$158.08
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$100.00	$37.59
G0009 Administration of pneumococcal vaccine	12	12	$35.00	$30.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	200	$286.78	$129.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	407	182	$61.80	$61.73
99213 Established patient office or other outpatient visit, typically 15 minutes	292	136	$203.30	$91.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$170.00	$132.18
G0008 Administration of influenza virus vaccine	99	99	$30.15	$29.41
90662 Influenza vaccine split virus, preservative free	90	90	$80.00	$68.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	38	$50.00	$14.52
93000 Routine ekg using at least 12 leads including interpretation and report	48	47	$75.00	$14.45
0064A Adm sarscov2 50mcg/0.25mlbst	45	45	$60.00	$39.28
71046 X-ray of chest, 2 views	41	40	$100.00	$34.57
0134A Fee covid-19 vac 14 res	40	40	$40.00	$38.89
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$130.00	$38.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$372.41	$168.73
76700 Ultrasound of abdomen	27	27	$300.00	$122.26
81003 Automated urinalysis test	18	11	$25.00	$2.22
86580 Skin test for tuberculosis	16	16	$25.00	$10.71
93880 Ultrasound of both sides of head and neck blood flow	11	11	$409.00	$199.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	896	213	$42.90	$41.36
0012A Adm sarscov2 100mcg/0.5ml2nd	461	461	$56.20	$35.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	218	$241.30	$131.66
0011A Adm sarscov2 100mcg/0.5ml1st	402	402	$45.27	$22.52
0013A Adm sarscov2 100mcg/0.5ml3rd	349	349	$60.00	$40.01
99213 Established patient office or other outpatient visit, typically 15 minutes	215	117	$150.47	$92.90
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	179	128	$40.00	$37.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$170.00	$134.84
G0008 Administration of influenza virus vaccine	108	108	$30.00	$17.04
0003A Adm sarscov2 30mcg/0.3ml 3rd	105	105	$60.00	$40.01
90662 Influenza vaccine split virus, preservative free	82	82	$80.00	$65.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	34	$50.00	$14.39
93000 Routine ekg using at least 12 leads including interpretation and report	52	51	$75.00	$14.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	50	11	$20.00	$0.15
77080 Dxa bone density measurement of hip, pelvis, spine	40	40	$130.00	$39.11
71046 X-ray of chest, 2 views	37	35	$100.00	$34.39
76700 Ultrasound of abdomen	29	28	$300.00	$125.43
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$80.00	$65.26
86580 Skin test for tuberculosis	17	17	$25.00	$10.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$170.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$200.00	$170.81
93880 Ultrasound of both sides of head and neck blood flow	13	13	$409.00	$205.01
J1200 Injection, diphenhydramine hcl, up to 50 mg	13	11	$20.00	$0.91
91301 Sarscov2 vac 100mcg/0.5ml im	12	12	$0.01	$0.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$171.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,072	250	$42.90	$42.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	238	$200.00	$111.13
99213 Established patient office or other outpatient visit, typically 15 minutes	364	186	$150.00	$75.44
J0897 Injection, denosumab, 1 mg	257	18	$34.55	$18.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	174	174	$170.00	$118.76
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	165	122	$40.00	$38.36
G0008 Administration of influenza virus vaccine	109	105	$30.00	$16.92
90662 Influenza vaccine split virus, preservative free	100	97	$80.00	$60.31
0011A Adm sarscov2 100mcg/0.5ml1st	60	60	$41.00	$16.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	58	17	$20.00	$0.12
71046 X-ray of chest, 2 views	47	43	$100.00	$33.35
93000 Routine ekg using at least 12 leads including interpretation and report	45	45	$75.00	$17.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	33	$50.00	$14.53
77080 Dxa bone density measurement of hip, pelvis, spine	32	32	$130.00	$40.46
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$16.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$142.17	$118.53
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	21	18	$100.00	$80.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$200.00	$175.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$200.00	$170.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$167.85
76700 Ultrasound of abdomen	14	14	$300.00	$126.38
93880 Ultrasound of both sides of head and neck blood flow	14	14	$409.00	$205.37
81003 Automated urinalysis test	12	12	$25.00	$2.23
93922 Ultrasound study of arm and leg arteries	11	11	$300.00	$85.23
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	11	11	$94.00	$92.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,130	264	$42.90	$42.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	223	$166.16	$110.33
99213 Established patient office or other outpatient visit, typically 15 minutes	379	173	$137.26	$75.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	169	46	$20.00	$0.11
J0897 Injection, denosumab, 1 mg	160	32	$27.75	$14.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$170.00	$118.15
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	146	109	$94.00	$92.90
G0008 Administration of influenza virus vaccine	135	134	$30.15	$16.60
90662 Influenza vaccine split virus, preservative free	128	128	$69.92	$52.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	51	$50.00	$16.92
93000 Routine ekg using at least 12 leads including interpretation and report	52	50	$75.00	$17.15
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$130.00	$40.62
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	42	32	$100.00	$80.58
71046 X-ray of chest, 2 views	41	39	$100.00	$32.03
J1885 Injection, ketorolac tromethamine, per 15 mg	35	26	$56.57	$0.51
76700 Ultrasound of abdomen	31	30	$300.00	$123.35
93880 Ultrasound of both sides of head and neck blood flow	23	23	$409.00	$204.97
G0009 Administration of pneumococcal vaccine	22	22	$30.00	$16.60
81003 Automated urinalysis test	16	16	$25.00	$2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$170.00	$110.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$224.06	$167.22
86580 Skin test for tuberculosis	14	14	$25.00	$8.65
90670 Pneumococcal vaccine for injection into muscle	14	14	$211.43	$204.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$200.00	$169.00
93922 Ultrasound study of arm and leg arteries	11	11	$300.00	$87.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,002	281	$42.90	$42.30
99213 Established patient office or other outpatient visit, typically 15 minutes	472	202	$122.67	$73.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	182	$145.13	$108.24
J0897 Injection, denosumab, 1 mg	216	29	$31.01	$14.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	171	46	$20.00	$0.12
G0008 Administration of influenza virus vaccine	153	148	$30.00	$20.45
90662 Influenza vaccine split virus, preservative free	143	143	$50.84	$49.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$170.00	$116.90
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	73	63	$94.00	$91.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	45	$50.00	$20.57
77080 Dxa bone density measurement of hip, pelvis, spine	61	61	$130.00	$41.94
93000 Routine ekg using at least 12 leads including interpretation and report	58	57	$75.00	$17.08
71046 X-ray of chest, 2 views	54	48	$100.00	$30.49
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	39	29	$100.00	$80.53
J1885 Injection, ketorolac tromethamine, per 15 mg	31	25	$59.68	$0.59
G0009 Administration of pneumococcal vaccine	30	30	$30.00	$20.45
76700 Ultrasound of abdomen	29	28	$300.00	$123.73
93922 Ultrasound study of arm and leg arteries	29	29	$300.00	$87.72
90670 Pneumococcal vaccine for injection into muscle	25	26	$200.00	$193.74
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	22	22	$64.00	$63.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$195.00	$165.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$200.00	$165.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$140.00	$108.87
93880 Ultrasound of both sides of head and neck blood flow	17	17	$409.00	$205.88
81003 Automated urinalysis test	17	14	$25.00	$2.71
86580 Skin test for tuberculosis	16	16	$25.00	$8.17
93925 Ultrasound of leg arteries or artery grafts	11	11	$500.00	$263.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,026	306	$42.90	$46.60
99213 Established patient office or other outpatient visit, typically 15 minutes	633	258	$110.18	$80.47
J0897 Injection, denosumab, 1 mg	223	34	$30.03	$13.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	166	$145.00	$116.60
G0008 Administration of influenza virus vaccine	203	202	$30.00	$25.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	187	44	$20.00	$0.11
90662 Influenza vaccine split virus, preservative free	160	160	$50.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$170.00	$133.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	48	$50.00	$28.23
93000 Routine ekg using at least 12 leads including interpretation and report	65	60	$75.00	$18.60
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	47	35	$100.00	$82.08
77080 Dxa bone density measurement of hip, pelvis, spine	47	47	$130.00	$47.17
71020 X-ray of chest, 2 views, front and side	45	41	$100.00	$30.73
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	40	$25.00	$18.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$140.00	$116.21
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	36	36	$94.00	$102.91
76700 Ultrasound of abdomen	32	31	$300.00	$136.59
J1885 Injection, ketorolac tromethamine, per 15 mg	24	20	$60.00	$0.67
90670 Pneumococcal vaccine for injection into muscle	22	22	$200.00	$185.18
96360 Infusion into a vein for hydration, 31-60 minutes	21	15	$100.00	$64.45
93880 Ultrasound of both sides of head and neck blood flow	20	19	$409.00	$224.70
96361 Hydration infusion into a vein	20	14	$80.00	$16.99
81003 Automated urinalysis test	18	18	$25.00	$3.02
G0009 Administration of pneumococcal vaccine	18	18	$30.00	$25.34
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	18	$64.00	$68.82
93922 Ultrasound study of arm and leg arteries	16	16	$300.00	$98.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	13	12	$50.00	$0.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$195.00	$180.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$191.07
95923 Testing of autonomic (sympathetic) nervous system function	11	11	$250.00	$157.55

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 054442

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

921315018A (GA)

Commercial Insurance / Payer ID Medicare Ptan

511I110297

Hospital & Practice Group Affiliations

Jk Internal Medicine And Geriatrics,pc

1325 Satellite Blvd Nw, Suwanee, GA 300244676

Phone: 6784171255

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Young Chang , MD

Internal Medicine

NPI 1295016533

Doctor of Medicine (M.D.)

Jaesuk Lee , FNP-C

Nurse Practitioner - Family

NPI 1356746028

Family Nurse Practitioner (Certified)

Dr. Jaeyoung Lee , MD

Internal Medicine

NPI 1427499615

Doctor of Medicine (M.D.)

Min Jeong Kim

Internal Medicine

NPI 1669904892

John Kwon , NP

Nurse Practitioner - Adult Health

NPI 1922850437

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2017

Registered at 1325 SATELLITE BLVD., BLDG. 700, STE 701A, SUWANEE, GA 300244651 (Tel: 6784171255)

📍

Updated Business Mailing Address August 17, 2017

Registered at 1325 SATELLITE BLVD., BLDG. 700, STE 701A, SUWANEE, GA 300244651 (Tel: 6784171255)

👤

Provider Name / Credentials Updated August 17, 2017

Recorded as JINAHN KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Internal Medicine (License #054442 in GA)

👤

Provider Name / Credentials Updated July 20, 2017

Recorded as JINAHN KIM, M.D.

✅

NPI Profile Active July 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2011

Registered at 1325 SATELLITE BLVD., BLDG. 700, STE 701A, SUWANEE, GA 300244651 (Tel: 6784171255)

📍

Updated Business Mailing Address July 19, 2011

Registered at 1325 SATELLITE BLVD., BLDG. 700, STE 701A, SUWANEE, GA 300244651 (Tel: 6784171255)

👤

Provider Name / Credentials Updated July 19, 2011

Recorded as JIN KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2011

Internal Medicine (License #054442 in GA)

🟢

Initial NPI Registration & Enumeration May 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922057702

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 09, 2006

Last Update: August 17, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1325 Satellite Blvd., Bldg. 700, Ste 701a

Suwanee, GA 300244651

Phone: 6784171255

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.