DR. EUIYOUNG KWAK DMD
NPI 1003461559
Dentist - General Practice in Hiram, GA
About Dr. Euiyoung Kwak Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EUIYOUNG KWAK DMD (NPI 1003461559) is an individual general practice provider in Hiram, Georgia, licensed in Georgia (DN015936) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Euiyoung Kwak Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Euiyoung Kwak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarkston, GA 30021
- Reassigned Medicare billing, Georgia enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Euiyoung Kwak's NPI number?
The NPI number for Euiyoung Kwak is 1003461559. It was assigned to this individual provider in the NPPES registry on August 1, 2019.
Where is Euiyoung Kwak located?
Euiyoung Kwak practices at 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141. The listed phone number is (678) 224-9244.
What is Euiyoung Kwak's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Euiyoung Kwak enrolled in Medicare?
Yes. Euiyoung Kwak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Euiyoung Kwak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Euiyoung Kwak reassigns Medicare benefits to Ethne Health (Clarkston, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Euiyoung Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Euiyoung Kwak accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Euiyoung Kwak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Euiyoung Kwak was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Euiyoung Kwak, DMD · NPI 1003461559
General Practice provider in Hiram, Georgia. Individual provider, active in the CMS NPPES registry since August 1, 2019.
## Identity
- **NPI:** 1003461559 (Entity type: Individual)
- **Enumerated:** August 1, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN015936 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4373 JIMMY LEE SMITH PKWY STE 105, Hiram, GA 30141-2642
- **Phone:** (678) 224-9244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ethne Health (NPI 1073389219, Clarkston, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1003461559) · Data from the CMS NPPES public registry.