Individual provider Active NPI

David H Song, MD FACE

  • Interventional Cardiology Physician
  • Tucker, GA
National Provider Identifier
1174619100
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
045340 Issued in GA
Practice address
1468 Montreal Road
Tucker, GA 30084-6902
Phone
(770) 638-1400
Fax
(770) 638-1411
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 045340 GA Primary

Addresses

Primary practice location

1468 Montreal Road
Tucker, GA 30084-6902

Mailing address

1468 Montreal Road
Tucker, GA 30084-6902
Phone (770) 638-1400

Other identifiers 1

IdentifierTypeStateIssuer
0078548513MedicaidGA

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
I20041108000678 GA Practitioner - Cardiovascular Disease (Cardiology) 8325001696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Heart Specialists LLCGroup PAC ID 9537134341, 21 clinicians

Practice addresses (Care Compare)

1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400

1468 Montreal Rd
Tucker, GA 30084-6902

4120 Five Forks Trickum Rd SW
Suite 103
Lilburn, GA 30047-8975
Phone (770) 255-3491

4375 Johns Creek Pkwy
Suite 350
Suwanee, GA 30024-6087
Phone (770) 622-1622

771 Old Norcross Rd
Suite 310
Lawrenceville, GA 30046-4981
Phone (770) 513-5999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Medical Center, Inc. Current Accepting new patients
Atlanta Heart Specialists LLC Interventional Cardiology CurrentSince Feb 1, 2000 Accepting new patients
Northside Primary Care Professional Services, LLC Past Accepting new patients

Locations

3275 Market Place Blvd
Ste 100
Cumming, GA 30041
Phone (770) 292-1900

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2665 N Decatur Rd
Ste 320
Decatur, GA 30033
Phone (404) 292-1144

2801 N Decatur Rd
Ste 395
Decatur, GA 30033
Phone (404) 298-2220

771 Old Norcross Rd
Ste 310
Lawrenceville, GA 30046
Phone (770) 513-5999

4120 Five Forks Trickum Rd SW
Ste 103
Lilburn, GA 30047
Phone (470) 545-6702

5910 Hillandale Dr
Ste 350
Lithonia, GA 30058
Phone (678) 578-8900

5667 Peachtree Dunwoody Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 250-4530

4375 Johns Creek Pkwy
Ste 350
Suwanee, GA 30024
Phone (770) 622-1622

1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400

Interoperability endpoints

  • Direct secure messaging: david.song@gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA
  • Direct secure messaging: david.song@ahs1468.eclinicaldirectplus.com
  • Direct secure messaging: david.song@ahsmed.gadirect.net

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1174619100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL ROAD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846902",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL ROAD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846902",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD FACE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "045340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078548513",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.