Individual provider Active NPI

Hong Wang, MD, PHD

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1396794863
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050926 Issued in GA
Practice address
3068 Old Norcross Rd
Suite a
Duluth, GA 30096-4914
Phone
(770) 925-7232
Fax
(770) 638-3315
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 050926 GA
Internal Medicine Physician 207R00000X 050926 GA Primary

Addresses

Primary practice location

3068 Old Norcross Rd
Suite a
Duluth, GA 30096-4914

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Other practice location 1

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

Other practice location 2

2327 Winder Hwy
Dacula, GA 30019-2205
Phone (770) 962-0054

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000459 GA Practitioner - Family Practice 9830368489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

2327 Hwy 29 E
Dacula, GA 30019-2205
Phone (770) 962-0054

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

3068 Old Norcross Rd
Duluth
Ga, GA 30096-4914
Phone (770) 925-7232

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050926GAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD Legal Medicine CurrentSince Sep 1, 2002 Accepting new patients
Sleep Disorder Center @ Gwinnett Clinic Legal Medicine CurrentSince Sep 1, 2002 Accepting new patients
Gwinnett Clinic LTD Legal Medicine Current Accepting new patients
Gwinnett Clinic, LTD Legal Medicine Past Accepting new patients

Locations

2327 Winder Hwy
Dacula, GA 30019
Phone (770) 962-0054

3068 Old Norcross Rd
Ste A
Duluth, GA 30096
Phone (770) 925-7232

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 205-5000

Interoperability endpoints

  • Direct secure messaging: hong.wang.1@32352.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/32352/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hong.wang@gclinic.emedpractice.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1396794863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 OLD NORCROSS RD",
            "address_2": "SUITE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964914",
            "telephone_number": "770-925-7232",
            "fax_number": "770-638-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2327 Winder Hwy",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300192205",
            "country_code": "US",
            "telephone_number": "770-962-0054",
            "fax_number": "770-962-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HONG",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "050926",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.