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

Dr. Eda Moonhi Kim, MD

Individual provider Family Medicine Physician · NPI 1013306752

Dr. Eda Moonhi Kim, MD is a Family Practice in Lawrenceville, Georgia. Graduated from University of California, San Diego School of Medicine in 1997, 29 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
29
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 N Brown Rd
Lawrenceville, GA 30043-8141
Phone: (678) 710-6872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 632 Broadway Ph, New York, NY 10012-2614 — (800) 731-4254

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73015 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A66699 (CA)

Record details

NPI number1013306752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 19, 2015
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address1600 N Brown Rd, Lawrenceville, GA 30043-8141

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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