So Mee Kwon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP287929 Issued in GA

Practice address

10600 Medlock Bridge Rd
Johns Creek, GA 30097-8404

Phone

(770) 418-0818

Fax

(678) 206-0156

NPI assigned

Mar 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gwinnett Clinic LTD

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Loganville, GA
  • NPI 1255342630
  NPD (past)
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149
  NPD (past)

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1487509766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978404",
            "telephone_number": "770-418-0818",
            "fax_number": "770-995-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978404",
            "telephone_number": "770-418-0818",
            "fax_number": "678-206-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4580 Nelson Brogdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183478",
            "country_code": "US",
            "telephone_number": "770-831-6703",
            "fax_number": "770-831-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802153",
            "country_code": "US",
            "telephone_number": "770-868-1144",
            "fax_number": "770-868-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5196 Highway 53",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305173112",
            "country_code": "US",
            "telephone_number": "706-824-9929",
            "fax_number": "706-654-9373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Philip Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468736",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-0794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "SO",
        "middle_name": "MEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP287929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003345126D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Kowalchuk, M.D.
• Mohan K Krishnamachary, MD
• Kelsey Ann Krivis, CNP
• Mythilee Kugathasan, DMD
• Sang Kwak
• Soonji Kwon
• Samantha Labolle
• Laboratory Corporation of America Holdings
• Thomas James Lagree, DDS
• Toan Lam, PHARMACIST

• Family Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.