Active NPI
William Tung, M.D.
- Specialist
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 053409
- Practice address
- 4904 Timber Ridge Drive
Suite 305
Douglasville, GA 30135 - Phone
- (678) 501-5420
- Fax
- (678) 501-5427
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 053409 | GA | Primary |
Addresses
Primary practice location
4904 Timber Ridge Drive
Suite 305
Douglasville, GA 30135
Mailing address
1770 High TRL
Atlanta, GA 30339-5617
Phone (770) 953-3603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I35563 | Other | GA | MEDICARE ID-TYPE UNSPECIFIED |
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
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Atlanta, GA 30339
Phone (770) 953-3603
Hospital & facility affiliations
- Wellstar Douglas Medical Center
- Northside Hospital
- Wellstar Paulding Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W. Tung MD P.C. | Current | Accepting new patients | |
| William W. Tung MD P.C. | Current | Accepting new patients | |
| Douglas Neurology Associates, P.C. | Past | Accepting new patients |
Locations
3200 Downwood Cir NW
Ste 680
Atlanta, GA 30327
Phone (404) 355-7272
2713 Charles Hardy Pkwy
Ste 221
Dallas, GA 30157
Phone (678) 501-5420
4904 Timber Ridge Dr
Ste 305
Douglasville, GA 30135
Phone (678) 501-5420
Interoperability endpoints
- williamtung@an.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/JACJCA
Organizations & group practices 3
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.
-
- Neurology Physician
- Dallas, GA
- NPI 1861705196
-
- Neurology Physician
- Douglasville, GA
- NPI 1750197844
-
- Neurology Physician
- Douglasville, GA
- NPI 1548300452
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1154345205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 HIGH TRL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395617",
"telephone_number": "770-953-3603",
"fax_number": "770-892-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 TIMBER RIDGE DRIVE",
"address_2": "SUITE 305",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "678-501-5420",
"fax_number": "678-501-5427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNG",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "053409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "202I35563",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.