Active NPI
Korean Traditional Acupuncture LLC
- Clinic/Center
- Norcross, GA
National Provider Identifier
1013897990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KOREAN TRADITIONAL ACUPUNCTURE LLC
- Practice address
- 4056 Wetherburn Way Ste 203
Norcross, GA 30092-4613 - Phone
- (732) 523-4057
- NPI assigned
- Sep 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyonghwan Yang
- Title
- Owner
- Phone
- (770) 524-5251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4056 Wetherburn Way Ste 203
Norcross, GA 30092-4613
Mailing address
4056 Wetherburn Way Ste 203
Norcross, GA 30092-4613
National Provider Directory
National Provider DirectoryLocations
4056 Wetherburn Way
Ste 203
Norcross, GA 30092
Phone (770) 524-5251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Norcross, GA
- NPI 1952970972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1013897990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4056 WETHERBURN WAY STE 203",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4056 WETHERBURN WAY STE 203",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924613",
"telephone_number": "732-523-4057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOREAN TRADITIONAL ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "KYONGHWAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-524-5251"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.