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

Mi Kyung Kim, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1699030163

Mi Kyung Kim, DPM is a Podiatry in Lawrenceville, Georgia. Graduated from New York College of Podiatric Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
New York College of Podiatric Medicine
Licensed in
GA
In the registry since
2012
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1790 Atkinson Rd Ste D200
Lawrenceville, GA 30043-7991
Phone: (678) 731-7545
Fax: (678) 731-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001300 (GA)

Record details

NPI number1699030163
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 10, 2012
Last updated in NPPESMay 10, 2017
Mailing address1790 Atkinson Rd Ste D200, Lawrenceville, GA 30043-7991

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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