Individual provider Active NPI

Zudong Zhang, MD

  • Family Medicine Physician
  • Chamblee, GA
National Provider Identifier
1194935510
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
75185 Issued in GA
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

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20130104000417 AL Practitioner - Family Practice 0244384543 Reassigns benefits to 1 organization
I20160518000259 GA Practitioner - Family PracticePractitioner - Emergency Medicine 0244384543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.2751RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.