Active NPI
Sook Kyung Yoon, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0892
- Practice address
- 655 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3854 - Phone
- (678) 207-4500
- Fax
- (770) 536-0383
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0892 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 7130920 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 0892 | GA | Primary |
Addresses
Primary practice location
655 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3854
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
4700 Waters Avenue
Memorial Health University Medical Center
Savannah, GA 31404
Phone (912) 350-8000
Other practice location 2
1400 River Pl
Braselton, GA 30517-5600
Phone (678) 207-4500
Other practice location 3
655 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3854
Phone (678) 207-4500
Other practice location 4
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (678) 207-4500
Other practice location 5
743 Spring St NE
Gainesville, GA 30501-3715
Phone (678) 207-4500
Other practice location 6
1945 Beverly Rd
Gainesville, GA 30501-2034
Phone (678) 207-4500
Other practice location 7
1270 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 207-4500
Other practice location 8
835 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4500
Other practice location 9
801 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4500
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Georgia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3854
Phone (770) 533-6511
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 297-5700
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0892 | GA | MD | Physical Medicine & Rehabilitation Physician |
| 7130920 | WI | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic, PC | Multi-Specialty | Current | Accepting new patients |
| The Longstreet Clinic PC | Multi-Specialty | Current | Accepting new patients |
| Northeast Georgia Community Physicians LLC | Multi-Specialty | Current | Accepting new patients |
| Northeast Georgia Orthopaedics & Sports Medicine, LLC | Past | Accepting new patients | |
| Northeast Georgia Orthopaedics & Sports Medicine, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066
835 Austin Dr
Demorest, GA 30535
Phone (706) 754-8518
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500
655 Jesse Jewell Pkwy SE
Ste C
Gainesville, GA 30501
Phone (770) 539-9001
655 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 535-9391
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
655 Jesse Jewell Pkwy SE
Ste B
Gainesville, GA 30501
Phone (770) 532-7092
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
Multi-Specialty
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
Multi-Specialty
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Hoschton, GA
- NPI 1093725327
-
- Orthopaedic Surgery Physician
- Gainesville, GA
- NPI 1427079185
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1629459136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-533-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 JESSE JEWELL PKWY SE STE B",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013854",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383"
}
],
"practiceLocations": [
{
"address_1": "4700 Waters Avenue",
"address_2": "Memorial Health University Medical Center",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "31404",
"country_code": "US",
"telephone_number": "912-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Jesse Jewell Pkwy SE Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013854",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Jesse Jewell Pkwy SE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013834",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Beverly Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305012034",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175608",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 Austin Dr",
"address_purpose": "LOCATION",
"city": "Demorest",
"state": "GA",
"postal_code": "305354513",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Austin Dr",
"address_purpose": "LOCATION",
"city": "Demorest",
"state": "GA",
"postal_code": "305354513",
"country_code": "US",
"telephone_number": "678-207-4500",
"fax_number": "770-536-0383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOON",
"first_name": "SOOK KYUNG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "0892",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WI",
"license": "7130920",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "0892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.