Individual provider Active NPI

Ki Soo Jung, MD

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1609862283
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
105505 Issued in GA
Practice address
2200 Century Pkwy NE Ste 260
Atlanta, GA 30345-3103
Phone
(404) 946-9327
Fax
(833) 941-2436
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 105505 GA Primary

Addresses

Primary practice location

2200 Century Pkwy NE Ste 260
Atlanta, GA 30345-3103

Mailing address

2200 Century Pkwy NE Ste 260
Atlanta, GA 30345-3103
Phone (404) 946-9327

Other identifiers 2

IdentifierTypeStateIssuer
Q00247071OtherNCRAILROAD MEDICARE
P00387970OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040701000414 NC Practitioner - Neurology 5698752335 Reassigns benefits to 1 organization
I20260309000501 GA Practitioner - Neurology 5698752335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Neurosurgery and Spine Associates PAGroup PAC ID 7214833375, 104 clinicians
The Concussion CenterGroup PAC ID 5890188494, 2 clinicians

Practice addresses (Care Compare)

10314 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 831-4100

2200 Century Pkwy NE
Suite 260
Atlanta, GA 30345-3103
Phone (404) 946-9327

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105505GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Concussion Center CurrentSince Feb 23, 2026 Accepting new patients
Carolina Neurosurgery & Spine Associates PA CurrentSince Dec 1, 2021 Accepting new patients
Topple Diagnostics CurrentSince Feb 23, 2026 Accepting new patients
Carolina Neurosurgery & Spine Associates PA CurrentSince Dec 1, 2021 Accepting new patients

Locations

2200 Century Pkwy NE
Ste 260
Atlanta, GA 30345
Phone (404) 267-1818

225 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-1605

10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100

Interoperability endpoints

  • Direct secure messaging: kjung16068@direct.novanthealth.org
  • FHIR API: https://api.platform.athenahealth.com/25039/brand/2/csg/1/fhir/r4
  • Direct secure messaging: ki.soo.jung.1@25039.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1609862283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453103",
            "telephone_number": "404-946-9327",
            "fax_number": "833-941-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453103",
            "telephone_number": "404-946-9327",
            "fax_number": "833-941-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KI",
        "middle_name": "SOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "105505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00247071",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00387970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.