Individual provider Active NPI

Joong Yong Kwon, M.D.

  • Infectious Disease Physician
  • Gainesville, GA
National Provider Identifier
1942422886
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
99764 Issued in GA
Practice address
1211 Sherwood Park Dr NE Ste B
Gainesville, GA 30501-3444
Phone
(770) 219-4840
NPI assigned
May 2, 2007
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2010005180 MO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X R9800 TX
Infectious Disease Physician 207RI0200X 40979 IA
Infectious Disease Physician 207RI0200X 27313 NE
Infectious Disease Physician 207RI0200X 99764 GA Primary
Infectious Disease Physician 207RI0200X R9800 TX

Addresses

Primary practice location

1211 Sherwood Park Dr NE Ste B
Gainesville, GA 30501-3444

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

11803 South Fwy Ste 111
Burleson, TX 76028-7028
Phone (817) 349-9500

Other practice location 2

1400 S Main St Fl 4
Fort Worth, TX 76104-4909
Phone (817) 702-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320001107 TX Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Infectious Disease 0648303529 Reassigns benefits to 2 organizations
I20240530002020 GA Practitioner - Infectious Disease 0648303529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
National Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1211 Sherwood Park Dr NE
Suite B
Gainesville, GA 30501-3444
Phone (770) 219-3202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010005180MOMDGeriatric Medicine (Internal Medicine) Physician
40979IAMDInfectious Disease Physician
R9800TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Fort Worth Infectious Disease Consultants PLLC Infectious Disease CurrentSince Jan 1, 2019 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince May 1, 2024 Accepting new patients

Locations

1211 Sherwood Park Dr NE
Ste B
Gainesville, GA 30501
Phone (770) 219-3202

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

11803 South Fwy
Ste 111
Burleson, TX 76028
Phone (817) 349-9500

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1400 S Main St
Fl 4
Fort Worth, TX 76104
Phone (817) 702-4925

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16067/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1942422886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SHERWOOD PARK DR NE STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013444",
            "telephone_number": "770-219-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 South Fwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287028",
            "country_code": "US",
            "telephone_number": "817-349-9500",
            "fax_number": "817-349-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044909",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "fax_number": "817-335-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "JOONG YONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2010005180",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R9800",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IA",
            "license": "40979",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NE",
            "license": "27313",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "99764",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "R9800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.