Individual provider Active NPI

Yi Dong

  • Hematology & Oncology Physician
  • Canton, GA
National Provider Identifier
1104245687
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
99206 Issued in GA
Practice address
1521 Hickory Flat Hwy Ste 100
Canton, GA 30115-3504
Phone
(770) 479-1870
Fax
(770) 479-9705
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01078145A IN
Hematology & Oncology Physician 207RH0003X 99206 GA Primary

Addresses

Primary practice location

1521 Hickory Flat Hwy Ste 100
Canton, GA 30115-3504

Mailing address

1835 Savoy Dr Ste 203
Atlanta, GA 30341-1073

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-2000

Other practice location 2

134 Mountainside Village Pkwy Ste 100
Jasper, GA 30143-8694
Phone (706) 253-3100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ydong@direct.iuhealth.org
Direct Messaging Address yi.dong.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170712000100 IN Practitioner - HospitalistPractitioner - Internal Medicine 2668775073 Reassigns benefits to 1 organization
I20240628002919 GA Practitioner - Hematology/Oncology 2668775073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

134 Mountainside Village Pkwy
Suite 100
Jasper, GA 30143-8694
Phone (706) 692-2441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99206GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jul 1, 2024 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Jul 1, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Jul 17, 2017 Accepting new patients
University Family Physicians, Inc. Internal Medicine CurrentSince Jul 17, 2017 Accepting new patients
Northside Imaging LLC Past Accepting new patients
Major Hospital Past Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients

Locations

1521 Hickory Flat Hwy
Ste 100
Canton, GA 30115
Phone (770) 479-1870

134 Mountainside Village Pkwy
Ste 100
Jasper, GA 30143
Phone (706) 253-3100

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

7216 Solutions Ctr
Chicago, IL 60677

1800 N Capitol Ave
Ste 140
Indianapolis, IN 46202

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1800 N Capitol Ave
Ste E140
Indianapolis, IN 46202
Phone (317) 962-2894

550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: yi.dong.p1@direct.gacancer.nextgenshare.com
  • Direct secure messaging: ydong@direct.iuhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1104245687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HICKORY FLAT HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301153504",
            "telephone_number": "770-479-1870",
            "fax_number": "770-479-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-2000",
            "fax_number": "317-963-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Mountainside Village Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301438694",
            "country_code": "US",
            "telephone_number": "706-253-3100",
            "fax_number": "706-252-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "YI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078145A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "99206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ydong@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yi.dong.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct edge",
            "address_1": "134 Mountainside Village Pkwy Ste 100",
            "city": "Jasper",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301438694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.