NPI age
17 years
Enumerated 2008-06-11
● Active Type 2 · Organization
Ag Family Medicine, Pc
Ag Family Medicine, Pc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kim
President
Last NPPES update
2025-12-15
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3590 Peachtree Industrial Blvd
Duluth, GA 300964817
Mailing address
3590 Peachtree Industrial Blvd
Duluth, GA 300964817
Authorized official
Chang Soo Kim
President
📞 7706149799
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Chang Soo Kim, MD Family Medicine NPI 1215149554
- Young Kim, APRN Nurse Practitioner NPI 1144046889
- Seung Jung Lee, AGNP-C Nurse Practitioner NPI 1881533123
- Nanyoung Park, ANP-BC Clinical Nurse Specialist NPI 1043633084
- Wonjin Rhi, NP-C Nurse Practitioner NPI 1205488277
- Jungah Seo, FNP-C Nurse Practitioner NPI 1144973132
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 868452174A |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.