Sung H Yang, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006876 Issued in GA

Practice address

1299 Old Peachtree Rd NW
Suite 101
Suwanee, GA 30024-2028

Phone

(770) 882-6666

Fax

(770) 252-6800

NPI assigned

Aug 20, 2007

Last updated

Jul 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sung Yang DC, PC

  dba Kim Family Chiropractic

  • Chiropractor
  • Doraville, GA
  • NPI 1376736702
  NPD (past) Authorized official
• John D. Kim PC

  dba Chiropractic Healing Center

  • Rehabilitation Clinic/Center
  • Suwanee, GA
  • NPI 1033404066

  Nutrition

  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1043403462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "address_2": "SUITE 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-882-6666",
            "fax_number": "770-252-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "address_2": "SUITE 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-882-6666",
            "fax_number": "770-252-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SUNG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006876",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "GA006876",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "GA006876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP, PROVIDER #",
            "identifier": "650378",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9150110",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xcell Medical Supply
• Jingyao Martha Xu, BCBA
• Anna Yang
• Jiadong Yang, PHARMD
• Soo Yang, MT
• Ravi David Yarid, D.O.
• Christen Yi, DPT
• Katherine Kyungae Yi
• Lisa Dia Yi, BS
• Patrick BK Yi, DC

• Chiropractor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.