Jonathan Ryohwan Jang, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17888 Issued in MS

Practice address

2 W Lakeview Dr
Suite 2
Columbia, MS 39429-7960

Phone

(601) 444-4798

Fax

(601) 444-5127

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pediatrics & Family Practice of Columbia, P.a.

  • Pediatrics Physician
  • Columbia, MS
  • NPI 1730242462

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073603171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W LAKEVIEW DR",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394297960",
            "telephone_number": "601-444-4798",
            "fax_number": "601-444-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W LAKEVIEW DR",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394297960",
            "telephone_number": "601-444-4798",
            "fax_number": "601-444-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "JONATHAN",
        "middle_name": "RYOHWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126888",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Hurst, NP
• Rhondalyn Ilori, RN, BSN
• Infinity Home Care LLC
• Internal Medicine Clinic of Columbia, P.a.
• Essie Jackson
• Corinthian Sharmeze Jefferson
• Angela E Jenkins, LPN
• Jennifer Trihoulis MD, LLC
• Jeffrey Neal Johnson, M.D.
• Connie Jones, PCMHT

• Family Medicine Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.