Individual provider Active NPI

Euna Jang, OMD

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1093030009
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
241 Issued in GA
Practice address
2800 Peachtree Industrial Blvd
Suite a
Duluth, GA 30097-7912
Phone
(404) 519-7313
NPI assigned
Apr 1, 2010
Last updated
Apr 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 241 GA Primary

Addresses

Primary practice location

2800 Peachtree Industrial Blvd
Suite a
Duluth, GA 30097-7912

Mailing address

2800 Peachtree Industrial Blvd
Suite a
Duluth, GA 30097-7912
Phone (404) 519-7313

Other names 1

  • Euna Kim Former name

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
241GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1093030009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977912",
            "telephone_number": "404-519-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977912",
            "telephone_number": "404-519-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "EUNA",
        "name_prefix": "Dr.",
        "credential": "OMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNA",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 1, 2010; 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.