Oh Young Jung, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN161577 Issued in GA

Practice address

4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741

Phone

(678) 546-5059

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Lanier Medcare,P.C.

  • Internal Medicine Physician
  • Buford, GA
  • NPI 1184813453
  NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1811664782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GALLATIN WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 LANIER ISLANDS PKWY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181741",
            "telephone_number": "678-546-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "OH YOUNG",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN161577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetyana Volodymyrivna Jones
• Nickeya Jordan
• Joy Bridge Care, LLC.
• Joy Mental Wellness, LLC
• Julie Homrich LLC
• Kaiser Foundation Health Plan of Georgia Inc.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Walter Kalenik, PT
• Mahnoor Kamran, DPT
• Kevin Kane, DO

• Primary Care Nurse Practitioner in Buford, GA
• Providers in Buford, 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 26, 2021; 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.