Individual provider Active NPI

Zhenrong Zhang, M.D.

  • Internal Medicine Physician
  • Evans, GA
National Provider Identifier
1164632881
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64705 Issued in GA
Practice address
465 N Belair Rd Ste 2C
Evans, GA 30809-3190
Phone
(706) 364-4775
Fax
(706) 364-6992
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.202984 LA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 64705 GA Primary

Addresses

Primary practice location

465 N Belair Rd Ste 2C
Evans, GA 30809-3190

Mailing address

465 N Belair Rd Ste 2C
Evans, GA 30809-3190
Phone (706) 364-4775

Other identifiers 1

IdentifierTypeStateIssuer
003116424FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled 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
I20101102000246 GA Practitioner - Internal Medicine 8628122835 Reassigns benefits to 1 organization
I20150204000062 GA Practitioner - Neurology 8628122835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

465 N Belair Rd
Evans, GA 30809-3191
Phone (706) 364-4775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64705GAMDInternal Medicine Physician
MD.202984LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Internal Medicine in Evans, P.C. Internal Medicine CurrentSince Dec 10, 2013 Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Louisiana, LLC Internal Medicine Past Accepting new patients

Locations

465 N Belair Rd
Ste 3E
Evans, GA 30809
Phone (706) 364-4775

465 N Belair Rd
Ste 2C
Evans, GA 30809
Phone (239) 935-5721

Interoperability endpoints

  • Direct secure messaging: primarycareinternalmedicineinevan.zhangzhenrongs@159255.advancedmd-direct.com

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 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1164632881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD STE 2C",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093190",
            "telephone_number": "706-364-4775",
            "fax_number": "706-364-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD STE 2C",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093190",
            "telephone_number": "706-364-4775",
            "fax_number": "706-364-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "ZHENRONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.202984",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "64705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116424F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.