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SO MEE KWON FNP
NPI 1487509766
Nurse Practitioner - Family in Johns Creek, GA

Active since March 02, 2026PECOS EnrolledAccepts Medicare Assignment
10600 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097(770) 418-0818(678) 206-0156 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About So Mee Kwon Fnp NPPES

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

SO MEE KWON FNP (NPI 1487509766) is an individual family provider in Johns Creek, Georgia, licensed in Georgia (APRN-NP287929) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487509766
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSO MEE KWONCredential: FNP
Location Address10600 MEDLOCK BRIDGE RDJohns Creek, GA 30097-8404
Mailing Address10600 Medlock Bridge RdJohns Creek, GA 30097-8404 · (770) 418-0818 · Fax (770) 995-0794
Phone(770) 418-0818
Fax(678) 206-0156
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 2, 2026
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1487509766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP287929
10600 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
Open in Google Maps ↗

Secondary Practice Locations 5

Location 14580 Nelson Brogdon BlvdBuford, GA 30518-3478 · Phone (770) 831-6703 · Fax (770) 831-6705
Location 22650 Lawrenceville Suwanee RdSuwanee, GA 30024-4918 · Phone (678) 205-5000 · Fax (678) 240-2080
Location 3175 N Broad StWinder, GA 30680-2153 · Phone (770) 868-1144 · Fax (770) 868-1276
Location 45196 Highway 53Braselton, GA 30517-3112 · Phone (706) 824-9929 · Fax (706) 654-9373
Location 5475 Philip Blvd Ste 100Lawrenceville, GA 30046-8736 · Phone (770) 995-3300 · Fax (770) 995-0794

Other Identifiers 6

Medicaid003345126CGA
Medicaid003345126AGA
Medicaid003345126BGA
Medicaid003345126EGA
Medicaid003345126FGA
Medicaid003345126DGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

So Mee Kwon Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880179811
PECOS Enrollment IDI20260327002514
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 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 2

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

GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
10600 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 418-0818
SHVETA SHAH RAJU M.D.
Internal Medicine
10600 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 418-0818

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 So Kwon's NPI number?

The NPI number for So Kwon is 1487509766. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is So Kwon located?

So Kwon practices at 10600 Medlock Bridge Rd, Johns Creek, GA 30097. The listed phone number is (770) 418-0818.

What is So Kwon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is So Kwon enrolled in Medicare?

Yes. So Kwon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for So Kwon was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.