Active NPI
Yewon Kwak
- Medical Oncology Physician
- Atlanta, GA
National Provider Identifier
1952038648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- RN271409
- Practice address
- 5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790 - Phone
- (404) 255-1930
- Fax
- (404) 459-8510
- NPI assigned
- Aug 3, 2022
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | RN271409 | GA | Primary |
Addresses
Primary practice location
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Mailing address
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone (404) 255-1930
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blood & Marrow Transplant Group of Georgia | Single Specialty | Current | Accepting new patients |
Locations
5670 Peachtree Dunwoody Rd
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-1930
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1952038648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424790",
"telephone_number": "404-255-1930",
"fax_number": "404-459-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424790",
"telephone_number": "404-255-1930",
"fax_number": "404-459-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "YEWON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "GA",
"license": "RN271409",
"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 Aug 3, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.