Active NPI
Li Zuo, MD
- Allergy & Immunology Physician
- Duluth, GA
National Provider Identifier
1023225190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 75964
- Practice address
- 3790 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-5142 - Phone
- (678) 837-5224
- Fax
- (404) 860-1298
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 75964 | GA | |
| Allergy & Immunology Physician | 207K00000X | 75964 | GA | Primary |
Addresses
Primary practice location
3790 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-5142
Mailing address
3500 Duluth Park LN
Ste 820
Duluth, GA 30096-3243
Phone (678) 837-5224
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3500 Duluth Park LN
Suite 820
Duluth, GA 30096-3243
Phone (678) 837-5224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75964 | GA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Allergy Asthma and Immunology LLC | Current | Accepting new patients |
Locations
3790 Pleasant Hill Rd
Ste 200
Duluth, GA 30096
Phone (678) 837-5224
3500 Duluth Park Ln
Ste 820
Duluth, GA 30096
Phone (678) 837-5224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Duluth, GA
- NPI 1104365279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1023225190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DULUTH PARK LN",
"address_2": "STE 820",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963243",
"telephone_number": "678-837-5224",
"fax_number": "404-860-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 PLEASANT HILL RD",
"address_2": "SUITE 200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965142",
"telephone_number": "678-837-5224",
"fax_number": "404-860-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUO",
"first_name": "LI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "GA",
"license": "75964",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "75964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.