Hong Feng Shi, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3306 Issued in GA

Practice address

3939 Lavista Rd Ste E110
Tucker, GA 30084-5162

Phone

(404) 683-8757

Fax

(678) 683-8757

NPI assigned

Jan 15, 2010

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1306177233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 LAVISTA RD STE E110",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845162",
            "telephone_number": "404-683-8757",
            "fax_number": "678-508-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 LAVISTA RD STE E110",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845162",
            "telephone_number": "404-683-8757",
            "fax_number": "678-683-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "HONG",
        "middle_name": "FENG",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Sharma, MD
• Pinang M Shastri, DO
• Margaret Anne Shaw, RN, PNP-BC
• Shawnquita L. Shedrick, LAPC
• Sheldon Soble DPM
• Ah Rim Shin, MD
• Hyung Ju Shin, M.D.
• Matthew Dorsey Shugart, APC
• Sibley Sisters, Inc.
• Amani Simeon, NP

• Surgical Physician Assistant in Tucker, GA
• Providers in Tucker, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.