P Praxis·MD
● Active Type 1 · Individual

Gina Kim, NP-C

Nurse Practitioner·Lawrenceville, GA· NPI 1629415880 · Enumerated 2013 · 12 years on NPI
Kim is 1 of 10 nurse practitioner providers in Lawrenceville and 1 of 280 in Georgia.
NPI age
12 years
Enumerated 2013-05-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 280 active nurse practitioner providers in Georgia.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
121 Langley Dr
Lawrenceville, GA 300466930
📞 7706851300fax 7706851311
Mailing address
121 Langley Dr
Lawrenceville, GA 300466930
📞 7706851300fax 7706851311

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN204356GA license #AG0513003 taxonomy 363LG0600X

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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