Active NPI
Health One Medical Group LLC
- Internal Medicine Physician
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39141
- Legal business name
- HEALTH ONE MEDICAL GROUP LLC
- Practice address
- 10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-1827 - Phone
- (770) 497-4188
- Fax
- (770) 497-4189
- NPI assigned
- Oct 29, 2013
- 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
- Christopher C Kang, MD
- Title
- Owner
- Phone
- (770) 497-4188
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39141 | GA | Primary |
Addresses
Primary practice location
10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-1827
Mailing address
10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-1827
Phone (770) 497-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2071921 | Health One Medical Group | Certificate of waiver | Mar 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
10710 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
Phone (770) 497-4188
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Johns Creek, GA
- NPI 1447226808
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1831245034
-
- Family Nurse Practitioner
- Johns Creek, GA
- NPI 1487121679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421193600000",
"number": "1114355260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 MEDLOCK BRIDGE RD",
"address_2": "SUITE 150",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971827",
"telephone_number": "770-497-4188",
"fax_number": "770-497-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MEDLOCK BRIDGE RD",
"address_2": "SUITE 150",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971827",
"telephone_number": "770-497-4188",
"fax_number": "770-497-4189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH ONE MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2015-01-14",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-497-4188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "39141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.