Jinhyuk Augustine Song

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Atrium Health Wake Forest Baptist Dept of Psychiatry M
Winston Salem, NC 27157-1087

Phone

(336) 716-4551

NPI assigned

Apr 1, 2022

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jsong2755716@carolinashealthcaresystem.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1225779580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571087",
            "telephone_number": "336-716-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571087",
            "telephone_number": "336-716-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JINHYUK",
        "middle_name": "AUGUSTINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charrisse Tremaine Somme
• Katherine Rose Sommers
• Sam Somsook, MD
• Jessica Son, M.D.
• Sonder Counseling & Wellness, PLLC
• Kirsten Songer, MD
• Christopher Soothill, LMBT
• Martha Schell Soots, CRNA
• Charity Starkes Sorensen, PA-C
• Dina Marie Sorensen, NP

• Student in an Organized Health Care Education/Training Program in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.