JEONGA BYEON – Family Nurse Practitioner, NPI 1114747193

JEONGA BYEON is a healthcare provider. based in Ringgold, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. 37292 (TN). The NPI Number for JEONGA BYEON is 1114747193

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JEONGA BYEON
NPI
1114747193
Phone
(706) 277-7311
Address
136 BATTLEFIELD CROSSING CT
Enumeration Date
14 October 2024
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4235211100
Graduation Year
2024 (2 years ago)
PAC ID
3678009370
Group Practice PAC ID
8224118773
Professional Enrollment ID
I20241204003963
Address ID
TN374214904CH2358XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JEONGA BYEON

  • 136 BATTLEFIELD CROSSING CT

    RINGGOLD, GA 307365176

    Phone: (706) 277-7311

    Fax: (706) 529-7210

    Type: Mailing

  • 2358 LIFESTYLE WAY STE 212

    CHATTANOOGA, TN 374214904

    Phone: (423) 521-1100

    Fax: (423) 521-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($26).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241204003963INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30736)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224118773View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
D E R M A T O L O G YCA
Nurse PractitionerGA
Nurse PractitionerTN
Physician AssistantTN
Plastic And Reconstructive SurgeryTN
Physician AssistantTN

Reviews

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Frequently asked questions

What federal number belongs to JEONGA BYEON?
The federal identifier for JEONGA BYEON is NPI 1114747193.
Is JEONGA BYEON active in the national directory?
JEONGA BYEON's public NPI profile is in an active state.
What field does JEONGA BYEON work in?
You can think of JEONGA BYEON as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JEONGA BYEON?
We surface Ringgold, Georgia for JEONGA BYEON based on available NPPES addresses.
How can I contact JEONGA BYEON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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