P Praxis·MD
● Active Type 1 · Individual

DR. Christopher Joon Ki Kim, MD, PHARMD

Urology·Lawrenceville, GA· NPI 1063918852 · Enumerated 2018 · 8 years on NPI
Kim is 1 of 15 urology providers in Lawrenceville and 1 of 563 in Georgia.
NPI age
8 years
Enumerated 2018-04-02
Primary specialty
Urology
Plus 1 subspecialty
Licensed in
GA, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 563 active urology providers in Georgia.

NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Practice location
850 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 300435483
📞 7709632451
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
📞 6782844040

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2301 Erwin Rd
Durham, NC 27710
📞 9196848111
Location 3
700 S Park St
Madison, WI 537151830
📞 6082516100fax 6082516100

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    GA license #97769WI license #83746 taxonomy 208800000X

Identifiers

TypeValueNotes
05 (WI) 1063918852
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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