P Praxis·MD
● Active Type 1 · Individual

DR. Jenny Christine Kim, M.D.

Otolaryngology·Decatur, GA· NPI 1275531907 · Enumerated 2005 · 20 years on NPI
Kim is 1 of 3 otolaryngology providers in Decatur and 1 of 450 in Georgia.
NPI age
20 years
Enumerated 2005-07-07
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
484 Irvin Ct, Ste 140
Decatur, GA 300305406
📞 4042974230fax 4042974252
Mailing address
Northside Hospital- Managed Care Dept, 1000 Johnson Ferry Rd
Atlanta, GA 303421606
📞 4042974230fax 4042974252

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #054440 taxonomy 207Y00000X
  • Otolaryngology
    An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm...
    GA license #054440 taxonomy 207YS0012X

Identifiers

TypeValueNotes
05 (GA) 862450770C
05 (GA) 862450770W
05 (GA) 862450770B
05 (GA) 862450770U
05 (GA) 862450770A
05 (GA) 862450770D

Practice context

Part of a multi-provider practice. 4 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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