DR. JAE WOOK DONG M.D.
NPI 1689803652
Internal Medicine in Suwanee, GA

Q: What is Jae Wook Dong's NPI number?

The NPI number for Jae Wook Dong is 1689803652. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Jae Wook Dong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Wook Dong was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 10, 2009PECOS EnrolledAccepts Medicare Assignment

79.88/100

CMS Quality Rating

4275 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024(678) 475-1606(678) 475-1615 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2018, Jun 20, 2018, Apr 20, 2018 (3 updates tracked since 2018).

On this page

About Dr. Jae Wook Dong M.d. NPPES

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

DR. JAE WOOK DONG M.D. (NPI 1689803652) is an individual internal medicine provider in Suwanee, Georgia, licensed in Georgia (080202) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689803652

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAE WOOK DONGCredential: M.D.

Location Address4275 JOHNS CREEK PKWY STE ASuwanee, GA 30024

Mailing Address1355 Peachtree St Ne Ste 1600Atlanta, GA 30309-3276 · (678) 223-7774 · Fax (678) 223-7799

Phone(678) 475-1606

Fax(678) 475-1615

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 10, 2009

Last NPPES UpdateSeptember 5, 20183 updates tracked since enumeration

✔ NPI 1689803652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 080202✔ Licensed in IL · 125055845✔ Licensed in IA · 40328

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4275 JOHNS CREEK PKWY STE A, Suwanee, GA 30024

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11340 Upper Hembree Rd Ste ARoswell, GA 30076-0927 · Phone (770) 569-0777 · Fax (770) 569-7631

Location 23400 Old Milton Pkwy Ste 380Alpharetta, GA 30005-3707 · Phone (678) 987-1485 · Fax (678) 987-1486

Location 31505 Northside Blvd Ste 2000Cumming, GA 30041-6205 · Phone (770) 781-4010 · Fax (770) 781-5334

Other Identifiers 1

Medicaid003204609MGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jae Wook Dong M.d. 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 ID1658537162

PECOS Enrollment IDI20180619002130

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.

Medicare Billing Reassignments

Medicare enrollment records show Jae Wook Dong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aga Professional Services, LLC

15 mi

Gastroenterology

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
162 clinicians in this Medicare group

NPI 1063799120 (855) 709-4535

Aga, LLC

24 mi

Gastroenterology

550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308

Reassigned Medicare billing, Georgia enrollment
190 clinicians in this Medicare group

NPI 1124064118 (404) 881-1094

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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 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.

120 services104 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

101 services99 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

83 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

78 services56 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

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.

25 services25 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

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.

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.

79.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.48

Promoting Interoperability

Improvement Activities

Cost

78.12

Other Providers at the Same Location NPPES 3

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

PATRICIA AIMEE SANCHEZ-FERMIN M.D.

Internal Medicine (Gastroenterology)

4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024

Gwinnett County (678) 775-0293

MS. ALEXIS ADEOJO PA-C

Physician Assistant

4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024

Gwinnett County (678) 475-1606

JAMES DOUGLAS BARNETT PA-C

Physician Assistant

4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024

Gwinnett County (678) 475-1606

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 Jae Wook Dong's NPI number?

The NPI number for Jae Wook Dong is 1689803652. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Jae Wook Dong located?

Jae Wook Dong practices at 4275 Johns Creek Pkwy Ste A, Suwanee, GA 30024. The listed phone number is (678) 475-1606.

What is Jae Wook Dong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jae Wook Dong enrolled in Medicare?

Yes. Jae Wook Dong 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.

Which organizations bill Medicare for Jae Wook Dong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jae Wook Dong reassigns Medicare benefits to 2 organizations: Aga Professional Services, LLC (Atlanta, GA) and Aga, LLC (Atlanta, GA). Each 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 Jae Wook Dong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jae Wook Dong accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jae Wook Dong 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.

Is Jae Wook Dong affiliated with any hospitals?

According to CMS data, Jae Wook Dong is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jae Wook Dong was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.