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

Peter Kim

Individual provider Anesthesiologist Assistant · NPI 1457187163

Peter Kim is an Anesthesiology Assistant in Snellville, Georgia. Qualified in 2024, 2 years ago. Practices with Premier Anesthesia of Georgia LLC, a 62-clinician group.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1700 Medical Way
Snellville, GA 30078-2195
Phone: (770) 979-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1457187163
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1700 Medical Way, Snellville, GA 30078-2195

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Anesthesia Of Georgia Llc — 62 clinicians
Accepts Medicare assignment Not indicated

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