Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eui Jong

Individual provider Anesthesiologist Assistant · NPI 1508400078

Eui Jong is an Anesthesiology Assistant in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone: (404) 452-1677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 9536 (GA)

Record details

NPI number1508400078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address1000 Medical Center Blvd, Lawrenceville, GA 30046-7694

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville