Active NPI
Lok H Wong, MD
- Psychiatry Physician
- Augusta, GA
National Provider Identifier
1366641458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 67838
- Practice address
- 997 Saint Sebastian Way
Augusta, GA 30912-2613 - Phone
- (706) 721-6720
- NPI assigned
- Jul 17, 2007
- Last updated
- Feb 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 67838 | GA | Primary |
Addresses
Primary practice location
997 Saint Sebastian Way
Augusta, GA 30912-2613
Mailing address
207 Amelia Dr W
Augusta, GA 30907-9375
Phone (207) 321-1400
Other practice location 1
355 Tower Rd NE Ste 300
Marietta, GA 30060-9408
Phone (770) 644-1570
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwong358421@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67838 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1366641458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 AMELIA DR W",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309079375",
"telephone_number": "207-321-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 SAINT SEBASTIAN WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309122613",
"telephone_number": "706-721-6720"
}
],
"practiceLocations": [
{
"address_1": "355 Tower Rd NE Ste 300",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300609408",
"country_code": "US",
"telephone_number": "770-644-1570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "LOK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "67838",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwong358421@directwellstar.org",
"affiliation": "N",
"address_1": "355 Tower Rd NE Ste 300",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300609408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.