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

Samuel Jinsu Kim, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1265180921

Samuel Jinsu Kim, RN is a Psychiatric/Mental Health Registered Nurse in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone: (404) 728-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN284464 (GA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN284464 (GA)

Record details

NPI number1265180921
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 12, 2022
Last updated in NPPESMarch 12, 2022
Certification dateMarch 12, 2022
Mailing address4700 Longmire Ext # 47172, Atlanta, GA 30340-2210

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