Individual provider Active NPI

Alan L Wang, M.D.

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1093734238
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048017 Issued in GA
Practice address
601 Northolt Pkwy
Suwanee, GA 30024-4360
Phone
(770) 904-3222
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048017 GA Primary

Addresses

Primary practice location

601 Northolt Pkwy
Suwanee, GA 30024-4360

Mailing address

601 Northolt Pkwy
Suwanee, GA 30024-4360
Phone (770) 904-3222

Other practice location 1

6325 West Johns Creek Crossing
Emory Johns Creek Hospital - Hospital Medicine
Johns Creek, GA 30097
Phone (404) 778-6382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1093734238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NORTHOLT PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244360",
            "telephone_number": "770-904-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NORTHOLT PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244360",
            "telephone_number": "770-904-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 West Johns Creek Crossing",
            "address_2": "Emory Johns Creek Hospital - Hospital Medicine",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "30097",
            "country_code": "US",
            "telephone_number": "404-778-6382",
            "fax_number": "404-778-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ALAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.