Individual provider Active NPI

Sook Sung An Kil

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1407487614
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
2148 Duluth Hwy Ste 110
Duluth, GA 30097-4504
Phone
(404) 645-2005
NPI assigned
Jan 28, 2020
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

2148 Duluth Hwy Ste 110
Duluth, GA 30097-4504

Mailing address

5805 Sugarloaf Pkwy Unit 1214
Lawrenceville, GA 30043-6568
Phone (404) 645-2005

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Wellness Group Acupuncturist CurrentSince Jan 5, 2025 Accepting new patients
Tang Acupuncture, LLC Acupuncturist PastSince Jun 28, 2020 Accepting new patients

Locations

2148 Duluth Hwy
Ste 110
Duluth, GA 30097
Phone (404) 645-2005

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1407487614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SUGARLOAF PKWY UNIT 1214",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436568",
            "telephone_number": "404-645-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 DULUTH HWY STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974504",
            "telephone_number": "404-645-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN KIL",
        "first_name": "SOOK SUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.