RICHARD JEON (NP) – Nurse Practitioner, NPI 1831944123

RICHARD JEON (NP) is a healthcare provider. based in Snellville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN290487 (GA). The NPI Number for RICHARD JEON (NP) is 1831944123

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JEON (NP)
NPI
1831944123
Phone
(770) 979-0200
Address
1700 Medical Way
Enumeration Date
19 April 2024
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709183000
Graduation Year
2024 (2 years ago)
PAC ID
7012456296
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20240903000024
Address ID
GA300123877CO1412XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for RICHARD JEON (NP)

  • 1700 Medical Way

    Snellville, GA 300782195

    Phone: (770) 979-0200

    Type: Location

  • 1754 HARROGATE CT

    GRAYSON, GA 300171092

    Phone: (770) 568-7912

    Type: Mailing

  • 1800 TREE LN STE 250

    SNELLVILLE, GA 300786799

    Phone: (770) 736-6300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-03

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
I20240903000024INurse PractitionerGATBD

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 30078)

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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: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Nurse PractitionerGA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA

Reviews

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Frequently asked questions

Does RICHARD JEON (NP) have a public NPI I can cite?
Public records show RICHARD JEON (NP) under NPI 1831944123.
Is RICHARD JEON (NP) currently accepting referrals based on NPI status?
Registry metadata lists RICHARD JEON (NP) as active.
What type of care does RICHARD JEON (NP) provide?
RICHARD JEON (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RICHARD JEON (NP)?
RICHARD JEON (NP) is associated with Snellville, Georgia in the same public data insurers reference.
Who maintains RICHARD JEON (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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