Dr. Kim's Adult Clinic, PLLC
NPI 1174042485ActiveOrganization· General Practice· Bladenboro, NC
General Practice in Bladenboro, North Carolina, registered in NPPES in September 2017. The authorized official on file is Jong Whan Kim, MD, Owner/Provider.
Overview
| NPI | 1174042485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 200101455 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|