Individual provider Active NPI

Ji Sun Mok, DO

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1356924120
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101191 Issued in GA
Practice address
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone
(912) 819-4100
NPI assigned
Apr 29, 2021
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116035168 VA
Internal Medicine Physician 207R00000X 101191 GA Primary

Addresses

Primary practice location

11705 Mercy Blvd
Savannah, GA 31419-1711

Mailing address

11705 Mercy Blvd
Savannah, GA 31419-1711

Other names 1

  • Jisun Mok Other name

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
I20241202001002 GA Practitioner - Internal Medicine 8224430368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Hosptialists, LLCGroup PAC ID 1456456995, 33 clinicians

Practice addresses (Care Compare)

5354 Reynolds St
Suite 424
Savannah, GA 31405-6011
Phone (912) 819-5999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116035168VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hosptialists, LLC Internal Medicine CurrentSince Oct 11, 2024 Accepting new patients
Saint Joseph's Hospital, Inc. Past Accepting new patients

Locations

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

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.

Hospital & facility affiliations 2

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1356924120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191711",
            "telephone_number": "912-819-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOK",
        "first_name": "JI",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116035168",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "101191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JISUN",
            "last_name": "MOK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.