NPIMap

Individual provider Active NPI

Christopher C Kang, M.D.

  • Internal Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1447226808
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39141 Issued in GA
Practice address
10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-1827
Phone
(770) 497-4188
Fax
(770) 497-4189
NPI assigned
Feb 27, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5H54 MO
Internal Medicine Physician 207R00000X 036074653 IL
Internal Medicine Physician 207R00000X 39141 GA Primary
Hospitalist Physician 208M00000X R5H54 MO
Hospitalist Physician 208M00000X 036074653 IL
Hospitalist Physician 208M00000X 39141 GA

Addresses

Primary practice location

10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-1827

Mailing address

10710 Medlock Bridge Rd
Suite # 150
Johns Creek, GA 30097-1827
Phone (770) 497-4188

Other identifiers 2

IdentifierTypeStateIssuer
036074653MedicaidIL
P00346630OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000410 GA Practitioner - Internal Medicine 1850340274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health One Medical Group, LLCGroup PAC ID 6103053673, 2 clinicians

Practice addresses (Care Compare)

10710 Medlock Bridge Rd
Suite 200
Johns Creek, GA 30097-1998
Phone (770) 497-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036074653ILMDInternal Medicine Physician
R5H54MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health One Medical Group LLC Internal Medicine CurrentSince Dec 15, 2013 Accepting new patients
Healthcare Physicians of Southern Illinois, PC Internal Medicine Past Accepting new patients
Joli Oculoplastics, LLC PastSince Aug 1, 2023 Accepting new patients
Jayhawk Hospitalists PA Internal Medicine PastSince Sep 1, 2007 Accepting new patients
Illinois Hospitalists, PC Internal Medicine PastSince Dec 1, 2004 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine Past Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Dekalb Medical Hospitalists LLC Hospitalist Past Accepting new patients

Locations

10710 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
Phone (770) 497-4188

10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 497-4188

Interoperability endpoints

  • Direct secure messaging: christopher.kang.1@8258.direct.athenahealth.com

Organizations & group practices 8

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 6

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1447226808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD",
            "address_2": "SUITE # 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971827",
            "telephone_number": "770-497-4188",
            "fax_number": "770-497-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971827",
            "telephone_number": "770-497-4188",
            "fax_number": "770-497-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5H54",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074653",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "39141",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "R5H54",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036074653",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "39141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074653",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00346630",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.