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CHONGMYONG DANIEL WON PA-C
NPI 1689197139
Physician Assistant in Stockbridge, GA

Active since July 17, 2017PECOS Enrolled
830 EAGLES LANDING PKWY STE 204, STOCKBRIDGE, GA 30281(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Feb 20, 2023, Jun 6, 2022 and 3 more (6 updates tracked since 2017).

About Chongmyong Daniel Won Pa-c NPPES

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

CHONGMYONG DANIEL WON PA-C (NPI 1689197139) is an individual physician assistant in Stockbridge, Georgia, licensed in Georgia (8489) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689197139
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHONGMYONG DANIEL WONCredential: PA-C
Location Address830 EAGLES LANDING PKWY STE 204Stockbridge, GA 30281-7366
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 17, 2017
Last NPPES UpdateOctober 20, 20256 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1689197139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 8489
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
830 EAGLES LANDING PKWY STE 204, Stockbridge, GA 30281
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Secondary Practice Locations 2

Location 11765 Old West Broad StAthens, GA 30606-2853 · Phone (706) 549-1663 · Fax (706) 546-8792
Location 21501 Milstead Rd NE Ste 190Conyers, GA 30012-3850 · Phone (770) 962-3642 · Fax (770) 962-3643

Other Identifiers 1

Other14192129Caqh Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chongmyong Daniel Won Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335497395
PECOS Enrollment IDI20180807003558
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services31 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
38 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services22 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%131 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. RITA RAYNEL GIVENS FNP-BC
Nurse Practitioner (Family)
830 EAGLES LANDING PKWY STE 204
STOCKBRIDGE, GA 30281
Henry County (770) 962-3642
DR. TREVOR TURNER M.D.
Physical Medicine & Rehabilitation
830 EAGLES LANDING PKWY STE 204
STOCKBRIDGE, GA 30281
Henry County (770) 962-3642
GEORGIA PAIN AND WELLNESS CENTER
Pain Medicine (Interventional Pain Medicine)
830 EAGLES LANDING PKWY STE 204
STOCKBRIDGE, GA 30281
Henry County (770) 962-3642
DR. DANIEL JACOB GIANOLI MD
Anesthesiology (Pain Medicine)
830 EAGLES LANDING PKWY STE 204
STOCKBRIDGE, GA 30281
Henry County (770) 962-3642

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 Chongmyong Won's NPI number?

The NPI number for Chongmyong Won is 1689197139. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Chongmyong Won located?

Chongmyong Won practices at 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281. The listed phone number is (770) 962-3642.

What is Chongmyong Won's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chongmyong Won enrolled in Medicare?

Yes. Chongmyong Won is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chongmyong Won was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.