JK INTERNAL MEDICINE & GERIATRICSPC NPI 1649460437

NPI Information

  • NPI: 1649460437
  • Provider Name: JK INTERNAL MEDICINE & GERIATRICS,PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 11D1042613
  • Address: 1325 SATELLITE BLVD
    BLDG 700 STE 701A
    SUWANEE, GA
    ZIP 30024
  • Phone: (678) 417-1255

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NPI Details

JK INTERNAL MEDICINE & GERIATRICS,PC is an internal medicine in Suwanee, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JK INTERNAL MEDICINE & GERIATRICS,PC NPI is 1649460437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 SATELLITE BLVD
BLDG 700 STE 701A
SUWANEE, GA
ZIP 30024-651
Phone: (678) 417-1255
Fax: (678) 417-1258

The provider's authorized official is Jinahn Kim .
The authorized official title is President and has the following contact phone number (678) 417-1255.

The CLIA number assigned to this NPI record is 11D1042613 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 8/17/2011.

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
1207Q00000XFamily Medicine59806GEORGIANo
2207R00000XInternal Medicine54442GEORGIAYes

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
1H61628MEDICARE UPINGEORGIA
211SCFHJMEDICARE PINGEORGIA
3488455065AMEDICAIDGEORGIA

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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