Individual provider Active NPI

Jin Ho Jang, DC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1013713486
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011363 Issued in GA
Practice address
2785 Buford Hwy Ste 101B
Duluth, GA 30096-2866
Phone
(470) 282-1071
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011363 GA Primary

Addresses

Primary practice location

2785 Buford Hwy Ste 101B
Duluth, GA 30096-2866

Mailing address

1290 Old Peachtree Rd Apt 5127
Duluth, GA 30097-5336
Phone (678) 544-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011363GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Physio & Rehab Center LLC CurrentSince Mar 11, 2025 Accepting new patients
Spinebudz LLC Chiropractor PastSince Dec 7, 2025 Accepting new patients

Locations

2800 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 926-3868

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1013713486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 OLD PEACHTREE RD APT 5127",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975336",
            "telephone_number": "678-544-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 BUFORD HWY STE 101B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962866",
            "telephone_number": "470-282-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "JIN",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.