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

Individual provider Physician Assistant · NPI 1205563442

Hannah Kim, PA-C is a Physician Assistant in Canton, Georgia. Qualified in 2022, 4 years ago. Practices with Cleaver Medical Group Dermatology Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1521 Hickory Flat Hwy Ste 203
Canton, GA 30115-3502
Phone: (770) 800-3455
Fax: (770) 450-8024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11315 Johns Creek Pkwy Ste 140, Johns Creek, GA 30097-2665 — (770) 800-3455

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11071 (GA)

Record details

NPI number1205563442
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cleaver Medical Group Dermatology Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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