Active NPI
Eugene Hwang, M.D.
- Family Medicine Physician
- Lawrenceville, GA
National Provider Identifier
1184821753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 067351
- Practice address
- 475 Philip Blvd
Suite #100
Lawrenceville, GA 30046-8737 - Phone
- (770) 995-3300
- Fax
- (770) 995-0794
- NPI assigned
- Jun 28, 2007
- Last updated
- May 9, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 067351 | GA | Primary |
Addresses
Primary practice location
475 Philip Blvd
Suite #100
Lawrenceville, GA 30046-8737
Mailing address
475 Philip Blvd
Ste 100
Lawrenceville, GA 30046-8737
Phone (770) 995-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003128094 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067351 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic LTD | Past | Accepting new patients |
Interoperability endpoints
- eugene.hwang.1@14940.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1184821753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 PHILIP BLVD",
"address_2": "STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468737",
"telephone_number": "770-995-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 PHILIP BLVD",
"address_2": "SUITE #100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468737",
"telephone_number": "770-995-3300",
"fax_number": "770-995-0794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "067351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003128094",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.