Chongmyong Daniel Won, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8489 Issued in GA

Practice address

830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366

Phone

(770) 962-3642

Fax

(770) 962-3643

NPI assigned

Jul 17, 2017

Sex

Male

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 1

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

Physician Assistant

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chongmyong.won.p3@direct.precisionspinecare.nextgenshare.com
• Direct secure messaging: chongmyong.won.p1@direct.precisionspinecare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/AJIAAA

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.

• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1356781181
  Medicare reassignment Care Compare group NPD
• Advance Pain Management LLC.

  • Adult Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1013213073
  Medicare reassignment
• Non-Surgical Orthopaedics PC

  • Specialist
  • Marietta, GA
  • NPI 1871656561
  Medicare reassignment
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Newnan, GA
  • NPI 1427820190
  NPD
• Non-Surgical Orthopaedics PC

  • Specialist
  • Conyers, GA
  • NPI 1336929157
  NPD
• Pediatric Orthopedic Associates

  • Pediatric Radiology Physician
  • Salt Lake City, UT
  • NPI 1659488799
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1689197139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 EAGLES LANDING PKWY STE 204",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817366",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Old West Broad St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062853",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Milstead Rd NE Ste 190",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123850",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WON",
        "first_name": "CHONGMYONG",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "14192129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Matheny Wolfe, PA
• Paula Maria Woll, PAC
• Women'S Health Specialists 2 LLC
• Women'S Imaging Specialists - Eagles Landing, LLC
• Women'S Imaging Specialists - Eagles Walk, LLC
• Jane Soo Woo, MD
• Chereny Woodard, DPT
• Chantelle Marie Woodley
• Carrie Ann Woodruff, FNP
• Cindy Woodruff

• Physician Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.