Individual provider Active NPI

Jimong Choe, PH.D., L.AC.

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1558400457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
126 Issued in GA
Practice address
2550 Pleasant Hill Rd
Suite # 417
Duluth, GA 30096-4122
Phone
(770) 622-4100
Fax
(770) 495-0007
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 126 GA Primary

Addresses

Primary practice location

2550 Pleasant Hill Rd
Suite # 417
Duluth, GA 30096-4122

Mailing address

2550 Pleasant Hill Rd
Suite # 417
Duluth, GA 30096-4122
Phone (770) 622-4100

Other names 1

  • Jong Hyun Choe Former name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
126GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Choe'S Miracle Acupuncture & Herb Center Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558400457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD",
            "address_2": "SUITE # 417",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964122",
            "telephone_number": "770-622-4100",
            "fax_number": "770-495-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD",
            "address_2": "SUITE # 417",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964122",
            "telephone_number": "770-622-4100",
            "fax_number": "770-495-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JIMONG",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG",
            "last_name": "CHOE",
            "middle_name": "HYUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.