NPIMap

Individual provider Active NPI

Young Won Kang, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Duluth, GA
National Provider Identifier
1811946866
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
056302 Issued in GA
Practice address
4855 River Green Pkwy Ste 140
Duluth, GA 30096-8333
Phone
(678) 417-0077
Fax
(678) 417-0337
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-066513 OH
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 056302 GA Primary

Addresses

Primary practice location

4855 River Green Pkwy Ste 140
Duluth, GA 30096-8333

Mailing address

4855 River Green Pkwy Ste 140
Duluth, GA 30096-8333
Phone (678) 417-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000210 GA Practitioner - Internal MedicinePractitioner - General Practice 7618937541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Won Kang M.D. P.C.Group PAC ID 6002830155, 2 clinicians

Practice addresses (Care Compare)

4855 River Green Pkwy
Duluth, GA 30096-8333
Phone (678) 417-0077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-066513OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Young Won Kang M.D. P.C. CurrentSince Jan 1, 2006 Accepting new patients
Excelsior Healthcare Partners LLC Internal Medicine CurrentSince Feb 24, 2025 Accepting new patients
D & I Associates Inc Past Accepting new patients

Locations

4855 River Green Pkwy
Ste 140
Duluth, GA 30096
Phone (678) 417-0077

777 W Peachtree St
Norcross, GA 30071
Phone (770) 246-6100

Organizations & group practices 3

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 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1811946866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968333",
            "telephone_number": "678-417-0077",
            "fax_number": "678-417-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968333",
            "telephone_number": "678-417-0077",
            "fax_number": "678-417-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YOUNG",
        "middle_name": "WON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-066513",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "GA",
            "license": "056302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.