River Parc Internal Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

RN193179 Issued in GA

Legal business name

RIVER PARC INTERNAL MEDICINE

Practice address

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

Phone

(678) 417-0077

Fax

(678) 417-0337

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Young Kang, M.DNPI 1811946866

Title

MD

Phone

(678) 417-0077

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

River Parc Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Young Won Kang M.D. P.C.

  • Clinic/Center
  • Duluth, GA
  • NPI 1447438874
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Won Kang, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Duluth, GA
  • NPI 1811946866
  Authorized official Same address or phone

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1912366931",
    "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": {
        "organization_name": "RIVER PARC INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-417-0077",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "RN193179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Riley, PHARMD
• Vanessa Risingmoon
• Laura M. Riss, PSY.D.
• Anne Rivage
• River Oaks Healthcare System Inc
• David Rivera, FNP-C
• Floyd A Rivera
• Lisa Bazemore Rivera, MD
• James Ro, DPT
• Andria Rashaun Roberson, M.S., CCC

• Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.