John Eunjin Kwon, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN315281 Issued in GA

Practice address

1325 Satellite Blvd NW BLDG 700
Suwanee, GA 30024-4651

Phone

(678) 417-1255

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCCBDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JK Internal Medicine & Geriatrics,PC

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1649460437
  Medicare reassignment NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1922850437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 BARWICK LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977199",
            "telephone_number": "770-686-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW BLDG 700",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "678-417-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "JOHN",
        "middle_name": "EUNJIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN315281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Mohan Kunche, M.D
• Priyadarshi Kurl, MD
• Steven Kwok
• Hyeonjin Kwon
• Jinteak Kwon, DMD
• Som I Kwon, OD
• L&G's Family Transportation, LLC
• Laabh Pharmacy LLC (Caresway Pharmacy)
• Laabh Pharmacy LLC (Caresway Pharmacy)
• Esther Natacha Lafontant

• Adult Health Nurse Practitioner in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.