Active NPI
Zudong Zhang, MD
- Family Medicine Physician
- Chamblee, GA
National Provider Identifier
1194935510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75185
- Practice address
- 3576 Shallowford Rd NE Ste a
Chamblee, GA 30341-2998 - Phone
- (662) 392-7118
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20714 | MS | |
| Family Medicine Physician | 207Q00000X | L.2751R | AL | |
| Family Medicine Physician | 207Q00000X | 75185 | GA | Primary |
Addresses
Primary practice location
3576 Shallowford Rd NE Ste a
Chamblee, GA 30341-2998
Mailing address
3576 Shallowford Rd NE Ste a
Chamblee, GA 30341-2998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3415 Duluth Park LN
B1
Duluth, GA 30096-3259
Phone (770) 670-6565
3576 Shallowford Rd NE
Suite a
Chamblee, GA 30341-2998
Phone (770) 451-9940
6584 Professional PL
Suite D
Riverdale, GA 30274-4942
Phone (770) 907-7222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.2751R | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Lassen Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Greenwood Leflore Hospital | Past | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| Patients Choice Medical Center of Humphreys County, LLC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Mississippi, LLC | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Chamblee, GA
- NPI 1720500937
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1730598590
-
- Gastroenterology Physician
- Greenwood, MS
- NPI 1689633950
-
- Internal Medicine Physician
- Greenwood, MS
- NPI 1306090634
-
- Critical Access Hospital
- Belzoni, MS
- NPI 1114951324
-
- Clinic/Center
- Belmont, MS
- NPI 1295105922
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": "1701734400000",
"number": "1194935510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 SHALLOWFORD RD NE STE A",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 SHALLOWFORD RD NE STE A",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412998",
"telephone_number": "662-392-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "ZUDONG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "20714",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "L.2751R",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "75185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.