Active NPI
Ki Soo Jung, MD
- Neurology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 105505
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00247071 | Other | NC | RAILROAD MEDICARE |
| P00387970 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Piedmont Hospital, Inc
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105505 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Concussion Center | Current | Accepting new patients | |
| Carolina Neurosurgery & Spine Associates PA | Current | Accepting new patients | |
| Topple Diagnostics | Current | Accepting new patients | |
| Carolina Neurosurgery & Spine Associates PA | Current | 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
- kjung16068@direct.novanthealth.org
- https://api.platform.athenahealth.com/25039/brand/2/csg/1/fhir/r4
- 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.
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Atlanta, GA
- NPI 1194309732
-
- Neurological Surgery Physician
- Charlotte, NC
- NPI 1154384568
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Atlanta, GA
- NPI 1295315802
-
- Neurological Surgery Physician
- Rock Hill, SC
- NPI 1548819170
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.