P Praxis·MD
● Active Type 1 · Individual

Jeanah Kim

Family Medicine·Pooler, GA· NPI 1235879537 · Enumerated 2022 · 4 years on NPI
Kim is 1 of 20 family medicine providers in Pooler and 1 of 5448 in Georgia.
NPI age
4 years
Enumerated 2022-04-01
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
101 Saint Josephs Candler Dr Ste 200
Pooler, GA 313229585
📞 9127481999fax 9127483847
Mailing address
101 Saint Josephs Candler Dr Ste 200
Pooler, GA 313229585
📞 9127481999fax 9127483847

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #104979 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 5 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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