Kyung-Hwa Sun

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN266538 Issued in GA

Practice address

3610 Peachtree Industrial Blvd Ste 100
Duluth, GA 30096-5139

Phone

(678) 417-0332

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Woun Hue Seok DO PC

  dba Pleasant Hill Family Medicine

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1821286956
  NPD
• Merus Gastroenterology & Gut Health LLC

  • Medical Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1417546490
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1699469528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965139",
            "telephone_number": "678-417-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965139",
            "telephone_number": "678-417-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "KYUNG-HWA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN266538",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN266538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suju Enterprise Inc (hana pharmacy)
• Suju Enterprise Inc. (Hana Plus Pharmacy)
• Nuredin A Sule
• Summit Surgery Center of Duluth
• Jimin Sun
• Sung Hyun Inc (Koreana Pharmacy & Gifts)
• Sunrise Detox Duluth Ga, LLC
• Sunrise Detox Duluth, LLC
• Brandon Supak
• Surgical

• Primary Care Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; 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.