Active NPI
Jong Jin Choi, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tucker, GA
National Provider Identifier
1295845584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 052043
- Practice address
- 2060 Northlake Pkwy
Tucker, GA 30084-7012 - Phone
- (678) 245-6235
- Fax
- (770) 710-0925
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD019395E | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 052043 | GA | Primary |
Addresses
Primary practice location
2060 Northlake Pkwy
Tucker, GA 30084-7012
Mailing address
2060 Northlake Pkwy
Tucker, GA 30084-7012
Phone (678) 245-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003131467A | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019395E | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Physician Associates PC | Current | Accepting new patients | |
| Georgia Physician Associates, PC | Current | Accepting new patients | |
| Medical Rehabilitation, Inc | Past | Accepting new patients | |
| Comprehensive Rehab Care Physicians | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Maria Parham Nephrology & Hypertension | Past | Accepting new patients | |
| Quality Medical Management Services LLC | Past | Accepting new patients | |
| Maria Parham Anesthesia and Physiatry Center, Inc | Past | Accepting new patients |
Locations
5745 Old Winder Hwy
Ste C
Braselton, GA 30517
Phone (770) 450-6350
2000 Village Professional Dr
Ste 200
Canton, GA 30114
Phone (678) 661-4545
2060 Northlake Pkwy
Tucker, GA 30084
Phone (404) 644-3410
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Canton, GA
- NPI 1528496353
-
- Pain Medicine Physician
- Norcross, GA
- NPI 1225723075
-
- Specialist
- Woodstock, GA
- NPI 1497060016
-
- Physical Medicine & Rehabilitation Physician
- Asheville, NC
- NPI 1306938618
-
- Specialist
- Henderson, NC
- NPI 1558435388
-
- Nephrology Physician
- Henderson, NC
- NPI 1679705875
-
- Rehabilitation Practitioner
- Wexford, PA
- NPI 1942248612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1295845584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 NORTHLAKE PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847012",
"telephone_number": "678-245-6235",
"fax_number": "770-710-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 NORTHLAKE PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847012",
"telephone_number": "678-245-6235",
"fax_number": "770-710-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JONG",
"middle_name": "JIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD019395E",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "052043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003131467A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.