Individual provider Active NPI

Jacob Youngtaik Mok, MD

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1760045322
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
92063 Issued in GA
Practice address
3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 92063 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011

Mailing address

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone (678) 513-2273

Other practice location 1

11315 Johns Creek Pkwy Ste 320
Duluth, GA 30097-2644
Phone (678) 513-2273

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915000683 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608230214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Mercer University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Heart and Vascular Care East LLCGroup PAC ID 2163951997, 20 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone (678) 513-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care East, LLC Cardiovascular Disease CurrentSince Jul 15, 2025 Accepting new patients
24 On Physicians, PC CurrentSince Aug 15, 2023 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 15, 2023 Accepting new patients
Georgia Heart Institute LLC Cardiovascular Disease PastSince Jun 1, 2022 Accepting new patients
Heart and Vascular Care East, LLC Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292

306 Shorter Ave NW
Rome, GA 30165
Phone (706) 509-3500

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • Direct secure messaging: jacob.mok.1@1164.direct.athenahealth.com
  • Direct secure messaging: jmok1254001@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1760045322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEP BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403011",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEP BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403011",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300972644",
            "country_code": "US",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOK",
        "first_name": "JACOB",
        "middle_name": "YOUNGTAIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "92063",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.