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ELIZA SOOJUNG KANG
NPI 1407745730
Surgery in Gainesville, GA

Active since July 01, 2025PECOS Enrolled
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Eliza Soojung Kang NPPES

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

ELIZA SOOJUNG KANG (NPI 1407745730) is an individual surgery provider in Gainesville, Georgia, licensed in Georgia (112328) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407745730
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameELIZA SOOJUNG KANG
Location Address743 SPRING ST NE REAR 710Gainesville, GA 30501-3899
Mailing Address743 Spring St Ne Rear 710Gainesville, GA 30501-3899 · (770) 219-9000
Phone(770) 219-9000
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1407745730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 112328
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
743 SPRING ST NE REAR 710, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliza Soojung Kang 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RIAZ MAHMOOD DO
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
BARATH PRASHANTH SIVASUBRAMANIAN
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. ADEYEMI OLUMAYOWA GBOGBOADE MD
Family Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
MS. NISHI PATEL DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-1200
MOLLY MARIE MCNAMEE MD, MPH
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 284-6961
DR. MICHAEL CARL TUCKER DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
NAWRAS SILIN MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. BRENTON OTEY MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730

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 Eliza Kang's NPI number?

The NPI number for Eliza Kang is 1407745730. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Eliza Kang located?

Eliza Kang practices at 743 Spring St NE Rear 710, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Eliza Kang's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eliza Kang enrolled in Medicare?

Yes. Eliza Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eliza Kang was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.