Hong Li, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

045086 Issued in GA

Practice address

3576 Shallowford Rd NE
Suite a
Chamblee, GA 30341-2998

Phone

(770) 451-9940

Fax

(770) 451-6996

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Doctor Lis Family Care Inc

  • Family Medicine Physician
  • Chamblee, GA
  • NPI 1427395060
  NPD Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1073574307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTHERN HILL DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972062",
            "telephone_number": "770-495-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 SHALLOWFORD RD NE",
            "address_2": "SUITE A",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412998",
            "telephone_number": "770-451-9940",
            "fax_number": "770-451-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "HONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00836569B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "890754",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101639",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52782938002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "796101",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Thomas Lazenby III, PHARMACIST
• Scott Leaderman, DPT
• Laurie Ledford, MS, RD, LD
• Chin Kun Lee
• Kanya Montavius Lewis
• Lily Li Li, ACUPUNCTURIST
• Amy E Licker, PT
• Karen Lill, LPC, ATR, ACS, NCC
• Herry Zhi Liu
• Chelsea Lloyd

• Family Medicine Physician in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.