Individual provider Active NPI

Ana-Sophia Chung

  • Student in an Organized Health Care Education/Training Program
  • Dunwoody, GA
National Provider Identifier
1003755844
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2021 Pernoshal CT Ste 3000
Dunwoody, GA 30338-6405
Phone
(404) 778-6920
Fax
(404) 778-6901
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2021 Pernoshal CT Ste 3000
Dunwoody, GA 30338-6405

Mailing address

4938 Meadow LN
Marietta, GA 30068-4629
Phone (404) 944-1377

Other names 1

  • Ana Sophia Chung Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260522001137 GA Order and Referring Only - Family PracticePractitioner - Family Practice 5890265581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1003755844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 MEADOW LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684629",
            "telephone_number": "404-944-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PERNOSHAL CT STE 3000",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386405",
            "telephone_number": "404-778-6920",
            "fax_number": "404-778-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANA-SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "CHUNG",
            "middle_name": "SOPHIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.