Active NPI
Duoc Ung Chung, M.D.
- Otolaryngology Physician
- Winder, GA
National Provider Identifier
1306962592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 64013
- Practice address
- 20 Satellite Drive
Suite 300
Winder, GA 30680 - Phone
- (678) 392-3913
- Fax
- (678) 815-1556
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 243336 | NY | |
| Otolaryngology Physician | 207Y00000X | 64013 | GA | Primary |
Addresses
Primary practice location
20 Satellite Drive
Suite 300
Winder, GA 30680
Mailing address
4778 Ardmore Lane
Hoschton, GA 30548
Phone (404) 931-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64013 | GA | MD | Otolaryngology Physician |
| 243336 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
Interoperability endpoints
- dchung@chung.mdlogic.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Otolaryngology Physician
- Winder, GA
- NPI 1073834743
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1306962592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4778 ARDMORE LANE",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "30548",
"telephone_number": "404-931-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SATELLITE DRIVE",
"address_2": "SUITE 300",
"city": "WINDER",
"state": "GA",
"postal_code": "30680",
"telephone_number": "678-392-3913",
"fax_number": "678-815-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "DUOC",
"middle_name": "UNG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "243336",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "64013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.