Dr Chang Soo Kim, MD - Medicare Family Practice in Duluth, GA

Dr Chang Soo Kim, MD is a medicare enrolled "Family Medicine" physician in Duluth, Georgia. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. His current practice location is 3590 Peachtree Industrial Blvd, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 614-9799.

Dr Chang Soo Kim is licensed to practice in Georgia (license number 59806) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215149554.

Contact Information

Dr Chang Soo Kim, MD
3590 Peachtree Industrial Blvd,
Duluth, GA 30096-4817
(770) 614-9799
(770) 614-9789

Map and Direction




Physician's Profile

Full NameDr Chang Soo Kim
GenderMale
SpecialityFamily Practice
Experience35 Years
Location3590 Peachtree Industrial Blvd, Duluth, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Chang Soo Kim graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1215149554
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 06/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7416028451
  • Enrollment ID: I20080618000309

Medical Identifiers

Medical identifiers for Dr Chang Soo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215149554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 59806 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Chang Soo Kim allows following entities to bill medicare on his behalf.
Entity NameAg Family Medicine, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174783435
PECOS PAC ID: 7315018355
Enrollment ID: O20080618000315

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chang Soo Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chang Soo Kim, MD
3590 Peachtree Industrial Blvd,
Duluth, GA 30096-4817

Ph: (770) 614-9799
Dr Chang Soo Kim, MD
3590 Peachtree Industrial Blvd,
Duluth, GA 30096-4817

Ph: (770) 614-9799

Reviews and Comments


Family Medicine Doctors in Duluth, GA

Dr. Daniel Craig Grizzle, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096
Phone: 770-931-6220    
Dr. Grace Qing Chai, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096
Phone: 770-545-8380    Fax: 770-545-8383
Woun Seok, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Duluth Park Ln, Suite 220, Duluth, GA 30096
Phone: 678-417-0332    
Randy Byron Cronic, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3660 Howell Ferry Rd, Bldg B, Duluth, GA 30096
Phone: 770-670-4640    Fax: 770-670-4644
Mr. Matthew James Britton, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5955 State Bridge Road, Suite 240, Duluth, GA 30097
Phone: 770-368-8702    Fax: 770-368-8727
Mallikarjun Samala, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11085 Callaway Dr, Duluth, GA 30097
Phone: 423-737-0336    
Mrs. Noshin Najafi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Steve Reynolds Blvd, Kp Medical Center At Gwinnett, Duluth, GA 30096
Phone: 770-931-6220    Fax: 770-931-6035

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.