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

Jai Eun Kim

Individual provider Nurse Practitioner · NPI 1609671486

Jai Eun Kim is a Nurse Practitioner in West Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2025, 1 year ago. Licensed in South Carolina.

Years since qualifying
1
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2025
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Practice location Address checks out

103 Sum Mor Dr
West Columbia, SC 29169-4828
Phone: (803) 254-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 30777 (SC)

Record details

NPI number1609671486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in West Columbia