Yongjin Kwon

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1400 Crescent GRN Ste 120
Cary, NC 27518-8118

Phone

(919) 233-4131

Fax

(919) 233-4168

NPI assigned

Jul 18, 2022

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 names 1

• John Kwon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 27, 2025 through Aug 27, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yongjin.kwon.1@28414.direct.athenahealth.com

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.

• Family Psychiatry Practice & Associates, PLLC

  • Child & Adolescent Psychiatry Physician
  • Cary, NC
  • NPI 1588384572
  NPD
• Family Psychiatry and Psychology Associates, P.a.

  • Child & Adolescent Psychiatry Physician
  • Cary, NC
  • NPI 1932513223
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1700511474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CRESCENT GRN STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188118",
            "telephone_number": "919-233-4131",
            "fax_number": "919-233-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CRESCENT GRN STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188118",
            "telephone_number": "919-233-4131",
            "fax_number": "919-233-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YONGJIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "KWON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Anastasia Kunycky, MD
• Kure Pharmacy
• Kurt a. McKissick, DDS, PA
• Kurt G Vernon MD PA
• Yee Ling Kwan, RN, CRNA
• Concetta La Gatta, LMT
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• All providers in Cary, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.