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Kyonghwan Yang

Acupuncturist β€’ Norcross, GA

Active NPI 1952970972 Individual Practitioner Male Practitioner
Practice location in NPPES

4056 Wetherburn Way Ste 203
Norcross, GA 300924613

Call 7705245251 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4056 Wetherburn Way Ste 203

Norcross, GA 300924613

Telephone 7705245251
Organization at the Same NPPES Address or Phone
Korean Traditional Acupuncture Llc Facility NPI 1013897990

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norcross and Georgia

9 active clinicians are listed under Acupuncturist with a practice address in Norcross, GA (269 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-13
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES GA 464

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 13, 2025

Registered at 4056 WETHERBURN WAY STE 203, NORCROSS, GA 300924613 (Tel: 7705245251)

πŸ“
Updated Business Mailing Address August 13, 2025

Registered at 1356 LANIER VISTA DR, BUFORD, GA 305180202 (Tel: 7708961536)

πŸ“
Updated Business Mailing Address March 15, 2022

Registered at 3379 AZTEC RD APT 14D, DORAVILLE, GA 303405713 (Tel: 7708961536)

βœ…
NPI Profile Active June 23, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2021

Registered at 5441 BUFORD HWY NE STE 203, DORAVILLE, GA 303401168 (Tel: 7704510489)

πŸ“
Business Mailing Address (Initial Record) June 23, 2021

Registered at 5441 BUFORD HWY NE STE 203, DORAVILLE, GA 303401168 (Tel: 7704510489)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2021

Recorded as KYONGHWAN YANG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2021

Acupuncturist (license number reported to NPPES: GA 464)

🟒
Initial NPI Registration & Enumeration June 23, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952970972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2021
Last Update: August 13, 2025
Sole Proprietor: Yes

Mailing Address

1356 Lanier Vista Dr

Buford, GA 305180202

Phone: 7708961536

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.