YONG KU KWON PA
NPI 1033204631
Physician Assistant - Medical in Doraville, GA

Q: What is Yong Kwon's NPI number?

The NPI number for Yong Kwon is 1033204631. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Yong K Kwon PA.

Q: What is Yong Kwon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Yong Kwon was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 03, 2006PECOS Enrolled

5677 BUFORD HWY NE STE 210, DORAVILLE, GA 30340(678) 547-1045(678) 547-1048 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Yong Ku Kwon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YONG KU KWON PA (NPI 1033204631) is an individual medical provider in Doraville, Georgia, licensed in Georgia (004834) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033204631

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameYONG KU KWONCredential: PA

Location Address5677 BUFORD HWY NE STE 210Doraville, GA 30340-1200

Mailing Address5677 Buford Hwy Ne Ste 210Doraville, GA 30340-1200 · (678) 547-1045 · Fax (678) 547-1048

Phone(678) 547-1045

Fax(678) 547-1048

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJanuary 11, 2010

✔ NPI 1033204631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 004834

5677 BUFORD HWY NE STE 210, Doraville, GA 30340

Open in Google Maps ↗

Other Names 1

Other Name (5)Yong K Kwon Pa

Other Identifiers 3

Medicare PIN511I970362

Medicaid379290255BGA

Medicaid379290255AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yong Ku Kwon Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Yong Kwon's NPI number?

The NPI number for Yong Kwon is 1033204631. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Yong K Kwon PA.

Where is Yong Kwon located?

Yong Kwon practices at 5677 Buford Hwy NE Ste 210, Doraville, GA 30340. The listed phone number is (678) 547-1045.

What is Yong Kwon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Yong Kwon enrolled in Medicare?

Yes. Yong Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yong Kwon was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.