Divine Medicine LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DIVINE MEDICINE LLC

Practice address

11180 State Bridge Rd Ste 205
Johns Creek, GA 30022-7483

Phone

(770) 703-9939

Fax

(770) 200-1677

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Pyunggang ChoNPI 1235770744

Title

Dachm

Phone

(770) 703-9939

Specialties & licenses 1

Addresses

Other names 1

• CELESTIAL ORIENTAL MEDICINE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pyung Gang Cho, LAC

  • Acupuncturist
  • Johns Creek, GA
  • NPI 1235770744
  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1881403665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD STE 205",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227483",
            "telephone_number": "770-703-9939",
            "fax_number": "770-200-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD STE 205",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227483",
            "telephone_number": "770-703-9939",
            "fax_number": "770-200-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "PYUNGGANG",
        "authorized_official_title_or_position": "DACHM",
        "authorized_official_telephone_number": "770-703-9939",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CELESTIAL ORIENTAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Digestive Care Physicians, LLC
• Katerina Rafaela Dikefalos, LAPC, M.S.
• Andrea Dillard, MD
• Joshua Sanders Dimmig-Russell, APRN
• Yang Ding
• Emily Rose Dixon, CNM, FNP
• Doctor'S Hearing Center, Inc.
• Naga Doddapaneni, M.D
• Makenna Doherty, PT, DPT
• Patricia Vela Donnelly, CNS

• Acupuncturist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.