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DR. JOONG YONG KWON M.D.
NPI 1942422886
Internal Medicine - Infectious Disease in Gainesville, GA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
1211 SHERWOOD PARK DR NE STE B, GAINESVILLE, GA 30501(770) 219-4840 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2024, Oct 5, 2020, Jan 7, 2019 (3 updates tracked since 2019).

About Dr. Joong Yong Kwon M.d. NPPES

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

DR. JOONG YONG KWON M.D. (NPI 1942422886) is an individual infectious disease provider in Gainesville, Georgia, licensed in Georgia (99764) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942422886
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JOONG YONG KWONCredential: M.D.
Location Address1211 SHERWOOD PARK DR NE STE BGainesville, GA 30501-3444
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420 · Fax (770) 219-8440
Phone(770) 219-4840
Sole ProprietorNo
Medical School CMSNational Medical UniversityGraduated 1999
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1942422886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in GA · 99764✔ Licensed in IA · 40979✔ Licensed in NE · 27313✔ Licensed in TX · R9800
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2010005180 (MO), R9800 (TX)
1211 SHERWOOD PARK DR NE STE B, Gainesville, GA 30501
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Secondary Practice Locations 2

Location 111803 South Fwy Ste 111Burleson, TX 76028-7028 · Phone (817) 349-9500 · Fax (817) 349-9501
Location 21400 S Main St Fl 4Fort Worth, TX 76104-4909 · Phone (817) 702-1100 · Fax (817) 335-1805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas.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. Joong Yong Kwon 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 ID648303529
PECOS Enrollment IDI20240530002020
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

3

Medicare enrollment records show Joong Yong Kwon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Georgia Physicians Group Inc
0.3 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Acclaim Physician Group, Inc
787 mi
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
NPI 1780076562 (817) 702-6770
Fort Worth Infectious Disease Consultants PLLC
788 mi
Infectious Disease
11803 SOUTH FWY, SUITE 202
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1790154102 (817) 731-6121

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 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.

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.
315 services94 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.
303 services95 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.
136 services128 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
65 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 8

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

DR. NOELLE CLAUDINE STANLEY MD
Internal Medicine (Hospice and Palliative Medicine)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
DR. MONICA ELLIOTT LCSW, ED.D.
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
ADAM MATTHEW BRESSLER M.D.
Internal Medicine (Infectious Disease)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-8420
MRS. JENNIFER STANFIELD PUCKETT PA-C
Physician Assistant
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-4840
DONNA MARTIN MOSS LCSW, GC-C
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
MRS. DEBORAH JEAN SNEED I LCSW
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
ADDISON ROGER PARRIS MD
Internal Medicine (Infectious Disease)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-4840
MRS. JENNIFER SHRUM BEHUNIN RN FNP-C
Nurse Practitioner (Family)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179

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 Joong Yong Kwon's NPI number?

The NPI number for Joong Yong Kwon is 1942422886. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Joong Yong Kwon located?

Joong Yong Kwon practices at 1211 Sherwood Park Dr NE Ste B, Gainesville, GA 30501. The listed phone number is (770) 219-4840.

What is Joong Yong Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Joong Yong Kwon enrolled in Medicare?

Yes. Joong Yong 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.

Which organizations bill Medicare for Joong Yong Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joong Yong Kwon reassigns Medicare benefits to 3 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Acclaim Physician Group, Inc (Fort Worth, TX) and Fort Worth Infectious Disease Consultants PLLC (Burleson, TX). 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 Joong Yong Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joong Yong Kwon accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Texas list Joong Yong Kwon 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 Joong Yong Kwon affiliated with any hospitals?

According to CMS data, Joong Yong Kwon is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Ngmc Barrow, LLC and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Joong Yong Kwon was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.