Individual provider Active NPI

Kyung Yoon Min

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1841140738
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP232178 Issued in GA
Practice address
3215 Carrick Rd
Cumming, GA 30040-6411
Phone
(678) 549-1436
Fax
(678) 549-1436
NPI assigned
Jan 30, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP232178 GA Primary

Addresses

Primary practice location

3215 Carrick Rd
Cumming, GA 30040-6411

Mailing address

3215 Carrick Rd
Cumming, GA 30040-6411
Phone (678) 549-1436

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
I20260422003518 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8426525825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP232178GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1841140738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CARRICK RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406411",
            "telephone_number": "678-549-1436",
            "fax_number": "678-549-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 CARRICK RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406411",
            "telephone_number": "678-549-1436",
            "fax_number": "678-549-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "KYUNG YOON",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP232178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.