JOON Y. KIM MD PC NPI 1629181136

NPI Information

  • NPI: 1629181136
  • Provider Name: JOON Y. KIM, MD, PC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CLAYTON CATARACT & LASER SURGERY CENTER
  • CLIA Number: 11D0942346
  • Address: 1000 CORPORATE CENTER DR
    STE 180
    MORROW, GA
    ZIP 30260
  • Phone: (770) 968-8888

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NPI Details

JOON Y. KIM, MD, PC is an ambulatory surgical clinic center in Morrow, GA. JOON Y. KIM, MD, PC NPI is 1629181136. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Cataract & Laser Surgery Center.

The provider's business location address is:

1000 CORPORATE CENTER DR
STE 180
MORROW, GA
ZIP 30260-180
Phone: (770) 968-8888
Fax: (770) 960-2473

The provider's authorized official is Joon Y. Kim .
The authorized official title is Owner and has the following contact phone number (770) 968-8888.

The CLIA number assigned to this NPI record is 11D0942346 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Laser repair to improve eye fluid flow (HCPCS:65855)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 10/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical031147GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000783802AMEDICAIDGEORGIA
2490003651OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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