Henry Q Phung, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008288 Issued in GA

Practice address

7913 Chadwick LN
Riverdale, GA 30274-6716

Phone

(678) 469-8641

Fax

(678) 479-1317

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Quay V Phung Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Chiropractic Clinic, LLC

  • Preferred Provider Organization
  • Fayetteville, GA
  • NPI 1144481458
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1093995813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 CHADWICK LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302746716",
            "telephone_number": "678-469-8641",
            "fax_number": "678-479-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 CHADWICK LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302746716",
            "telephone_number": "678-469-8641",
            "fax_number": "678-479-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "HENRY",
        "middle_name": "Q",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008288",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUAY",
            "last_name": "PHUNG",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alecia Peters
• Samuel Armstrong Peters III, ND
• Oyinlola Abisola Peterson, PA-C
• Ayn R Phillips-Piquant, PHARMD
• Hai Lien Thi Phung, PHARMD
• Herretta Lachell Pickens, NP-C
• Piedmont Homecare Services LLC
• Pinnacle Homecare and Staffing Agency
• Darryl S. Pipkin, O.T.
• Michael R Plemons, MD

• Chiropractor in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.