Active NPI
Jason Intaek Kwon, CAA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1932046299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 5671 Peachtree Dunwoody Rd Ste 530
Atlanta, GA 30342-5005 - Phone
- (404) 257-1415
- NPI assigned
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd Ste 530
Atlanta, GA 30342-5005
Mailing address
5671 Peachtree Dunwoody Rd Ste 530
Sandy Springs, GA 30342-5005
Phone (404) 257-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5001 LBJ Fwy
Suite 320
Dallas, TX 75244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Specialists in Anesthesia, P.C. | Anesthesiologist Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1316968662
Anesthesiologist Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1932046299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD STE 530",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303425005",
"telephone_number": "404-257-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD STE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425005",
"telephone_number": "404-257-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "JASON",
"middle_name": "INTAEK",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-04",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.