Organization Active NPI

Med First, LLC

  • Family Medicine Physician
  • Tyrone, GA
National Provider Identifier
1982287496
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED FIRST, LLC
Practice address
56 Carriage Oaks Dr
Tyrone, GA 30290-1684
Phone
(316) 570-0392
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dongjin Yoon, M.D.NPI 1851501266
Title
Attending Physician
Phone
(316) 570-0392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

56 Carriage Oaks Dr
Tyrone, GA 30290-1684

Mailing address

160 Park Haven LN
Tyrone, GA 30290-1722
Phone (316) 570-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211007001910 GA Part B Supplier - Clinic/Group Practice 3577961416 Receives reassigned benefits from 1 practitioner
Practice locations: Tyrone, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2223315Med First56 Carriage Oaks Drive, Tyrone, GA 30290Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

2800 New Spring Rd NW
Ste J
Atlanta, GA 30339

2945 N Druid Hills Rd NE
Atlanta, GA 30329

1625 Mount Vernon Rd
Dunwoody, GA 30338

5075 Jimmy Carter Blvd
Norcross, GA 30093

56 Carriage Oaks Dr
Tyrone, GA 30290
Phone (316) 570-0392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1982287496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PARK HAVEN LN",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901722",
            "telephone_number": "316-570-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CARRIAGE OAKS DR",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901684",
            "telephone_number": "316-570-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED FIRST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "DONGJIN",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "316-570-0392",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.