Individual provider Active NPI

Yu Kang, RD, LIC AC

  • Acupuncturist
  • Decatur, GA
National Provider Identifier
1356441059
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000102 Issued in GA
Practice address
2786 N Decatur Rd Ste 220
Decatur, GA 30033-5928
Phone
(404) 294-6284
Fax
(404) 294-6030
NPI assigned
Sep 22, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD002921 GA
Acupuncturist 171100000X 000102 GA Primary

Addresses

Primary practice location

2786 N Decatur Rd Ste 220
Decatur, GA 30033-5928

Mailing address

487 Winn Way Ste 209
Decatur, GA 30030-1728
Phone (404) 296-8100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD002921GAMDRegistered Dietitian
000102GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Acupuncture & Nutrition, Inc. Acupuncturist CurrentSince Nov 3, 2024 Accepting new patients
Family Practice of Atlanta LLC Past Accepting new patients

Locations

2786 N Decatur Rd
Ste 220
Decatur, GA 30033
Phone (404) 294-6284

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1356441059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 WINN WAY STE 209",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301728",
            "telephone_number": "404-296-8100",
            "fax_number": "404-294-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 N DECATUR RD STE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335928",
            "telephone_number": "404-294-6284",
            "fax_number": "404-294-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YU",
        "name_prefix": "Ms.",
        "credential": "RD, LIC AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002921",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.