Individual provider Active NPI

Johnny Won, MD

  • Otolaryngology Physician
  • Suwanee, GA
National Provider Identifier
1164492203
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
67187 Issued in GA
Practice address
6916 McGinnis Ferry Rd
Ste 100
Suwanee, GA 30024-1258
Phone
(678) 347-2100
Fax
(678) 473-9752
NPI assigned
Jan 23, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 67187 GA Primary

Addresses

Primary practice location

6916 McGinnis Ferry Rd
Ste 100
Suwanee, GA 30024-1258

Mailing address

925 N Point Pkwy
Ste 130
Alpharetta, GA 30005-5210
Phone (678) 206-2589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20120529000356 GA Practitioner - Otolaryngology 1850554973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

3400 Old Milton Pkwy
Suite A240
Alpharetta, GA 30005-3708
Phone (770) 667-4465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.28 of 100Reported as group
Quality
60.36
Promoting interoperability
0
Improvement activities
40
Cost
80.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince May 20, 2024 Accepting new patients
Hcenti, LLC Past Accepting new patients
Magnolia ENT, LLC Otolaryngology PastSince Jun 1, 2024 Accepting new patients

Locations

1100 Northside Forsyth Dr
Ste 490
Cumming, GA 30041
Phone (678) 746-5920

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: alpharettasurgerycenter.johnnywon@120997.advancedmd-direct.com
  • Direct secure messaging: johnny.won.1@15673.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1164492203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "678-206-2589",
            "fax_number": "678-261-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 MCGINNIS FERRY RD",
            "address_2": "STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241258",
            "telephone_number": "678-347-2100",
            "fax_number": "678-473-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "JOHNNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "67187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.