P Praxis·MD
● Active Type 1 · Individual

Jennifer Lee Kim, MD

Ophthalmology·Morrow, GA· NPI 1811286149 · Enumerated 2011 · 15 years on NPI
Kim is 1 of 6 ophthalmology providers in Morrow and 1 of 807 in Georgia.
NPI age
15 years
Enumerated 2011-04-07
Primary specialty
Ophthalmology
Plus 2 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-12-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 807 active ophthalmology providers in Georgia.

NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
1000 Corporate Center Dr, Suite 100
Morrow, GA 302604180
📞 7709688888fax 7709602473
Mailing address
1000 Corporate Center Dr, Suite 100
Morrow, GA 302604180
📞 7709688888fax 7709602473

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    GA license #074038SC license #38366 taxonomy 207W00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 581787543 EYE CARE CENTERS MANAGEMENT, INC. D/B/A CLAYTON EYE CENTER
05 (GA) 003181756A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 28 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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