Individual provider Active NPI

Junghwan Bang, PHYSICAL THERAPIST

  • Clinical Electrophysiology Physical Therapist
  • Duluth, GA
National Provider Identifier
1811536246
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT016267 Issued in GA
Practice address
3525 Gwinnett Place Dr
Duluth, GA 30096-4708
Phone
(470) 505-3243
NPI assigned
Jan 2, 2020
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24669 NC
Physical Therapist 225100000X PTH9576 AL
Physical Therapist 225100000X PT016267 GA
Clinical Electrophysiology Physical Therapist 2251E1300X PT016267 GA Primary
Clinical Electrophysiology Physical Therapist 2251E1300X PTH9576 AL
Clinical Electrophysiology Physical Therapist 2251E1300X P24669 NC

Addresses

Primary practice location

3525 Gwinnett Place Dr
Duluth, GA 30096-4708

Mailing address

3159 Woodward Down TRL
Buford, GA 30519-5023
Phone (470) 505-3243

Other practice location 1

6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813
Phone (910) 790-9714

Other practice location 2

500 Hyundai Blvd
Montgomery, AL 36105-9620
Phone (334) 387-8000

Other practice location 3

100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240228003154 AL Practitioner - Physical Therapist in Private Practice 9032554126 Reassigns benefits to 1 organization
I20240305003133 GA Practitioner - Physical Therapist in Private Practice 9032554126 Reassigns benefits to 4 organizations
I20260602002428 NC Practitioner - Physical Therapist in Private Practice 9032554126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians
Atlanta Hand Therapy, LLCGroup PAC ID 2567631559, 8 clinicians

Practice addresses (Care Compare)

100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

3968 Felton Hill Rd S W
Suite 220
Smyrna, GA 30082-3506
Phone (770) 333-7888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24669NCMDPhysical Therapist
PTH9576ALMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Sep 17, 2024 Accepting new patients
Hughston Clinic, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Resurgens, LLC CurrentSince Sep 17, 2024 Accepting new patients
Dkumar LLC CurrentSince Oct 30, 2024 Accepting new patients
Atlanta Hand Therapy, LLC CurrentSince Mar 1, 2024 Accepting new patients
Hughston Clinic, PC CurrentSince Feb 1, 2024 Accepting new patients
Atlanta Hand Therapy, LLC CurrentSince Mar 1, 2024 Accepting new patients
Physio Electrodiagnostics LLC Electrophysiology, Clinical PastSince Feb 4, 2024 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

100 Medical Dr
Ste 400
Dublin, GA 31021
Phone (478) 353-1166

107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274

600 Professional Dr
Ste 100
Lawrenceville, GA 30046
Phone (678) 214-6960

117 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 420-1839

100 N Macon St
Macon, GA 31210
Phone (478) 200-6970

360 Hospital Dr
Ste 130
Macon, GA 31217
Phone (478) 200-6970

3775 Roswell Rd
Ste 250
Marietta, GA 30062
Phone (678) 214-6960

156 Foster Dr
Ste B
McDonough, GA 30253
Phone (770) 506-4119

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

3903 S Cobb Dr SE
Ste 200
Smyrna, GA 30080
Phone (770) 435-3214

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 220
Smyrna, GA 30082
Phone (678) 214-6960

522 N Center St
Thomaston, GA 30286
Phone (706) 646-4371

Interoperability endpoints

  • Direct secure messaging: junghwan.bang.1@321.direct.athenahealth.com
  • Direct secure messaging: paul.bang.1@15749.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1811536246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 WOODWARD DOWN TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195023",
            "telephone_number": "470-505-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 GWINNETT PLACE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964708",
            "telephone_number": "470-505-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Oleander Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034813",
            "country_code": "US",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Hyundai Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361059620",
            "country_code": "US",
            "telephone_number": "334-387-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Macon St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106563",
            "country_code": "US",
            "telephone_number": "478-200-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANG",
        "first_name": "JUNGHWAN",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24669",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9576",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016267",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT016267",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "AL",
            "license": "PTH9576",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NC",
            "license": "P24669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.