Active NPI
Jeongi Won
- General Practice Dentistry
- Loganville, GA
National Provider Identifier
1699683185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN124322
- Practice address
- 4799 Atlanta Hwy Ste 500
Loganville, GA 30052-7467 - Phone
- (949) 373-6930
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN124322 | GA | Primary |
Addresses
Primary practice location
4799 Atlanta Hwy Ste 500
Loganville, GA 30052-7467
Mailing address
4799 Atlanta Hwy Ste 500
Loganville, GA 30052-7467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1699683185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4799 ATLANTA HWY STE 500",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4799 ATLANTA HWY STE 500",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527467",
"telephone_number": "949-373-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "JEONGI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN124322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.