Individual provider Active NPI

William Tung, M.D.

  • Specialist
  • Douglasville, GA
National Provider Identifier
1154345205
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
053409 Issued in GA
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

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202I35563OtherGAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000295 GA Practitioner - Neurology 4981676210 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
William W. Tung MD P.C. CurrentSince Oct 1, 2010 Accepting new patients
William W. Tung MD P.C. CurrentSince Oct 1, 2010 Accepting new patients
Douglas Neurology Associates, P.C. PastSince Jan 1, 2003 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

  • Direct secure messaging: williamtung@an.allscriptsdirect.net
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.