Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dasom Kim

Individual provider Family Nurse Practitioner · NPI 1437937992

Dasom Kim is a Nurse Practitioner in Dacula, Georgia. Qualified in 2023, 3 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023

Practice location Address checks out

3027 Jim Moore Rd
Dacula, GA 30019-1144
Phone: (866) 389-2727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN281091 (GA)

Record details

NPI number1437937992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address1845 Wellston Dr, Lawrenceville, GA 30043-9507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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