Procare Ultrasound

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

PROCARE ULTRASOUND

Practice address

4500 Satellite Blvd Ste 2190
Duluth, GA 30096-8850

Phone

(404) 507-6797

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Hong Huong Pham, ARDMSNPI 1831699222

Title

Ultrasound Tech

Phone

(404) 507-6797

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hong Huong Thi Pham

  • Physiological Laboratory
  • Lilburn, GA
  • NPI 1831699222
  NPD Authorized official
• Cary Rose, MD

  • Clinical Cardiac Electrophysiology Physician
  • Palatka, FL
  • NPI 1548244122
  NPD
• Julia Vu, MD

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1013303932
  NPD (past)
• Changchun C Wu, MD

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1265642821
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1417458233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2190",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968850",
            "telephone_number": "404-507-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2190",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968850",
            "telephone_number": "404-507-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HONG HUONG",
        "authorized_official_title_or_position": "ULTRASOUND TECH",
        "authorized_official_telephone_number": "404-507-6797",
        "authorized_official_credential": "ARDMS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care of Atlanta
• Primecare Medical Supply Inc
• Priority Primary Care
• Proactive Medical Center LLC
• Proactive Medical Clinic Corp
• Erica N Proctor, M.D.
• Profound Wellness
• Provider Partners, LLC Dba Your Virtual Clincial
• Pruitthealth Hospice, Inc.
• Psychological Sciences Inst P.C.

• Diagnostic Ultrasound Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Diagnostic Ultrasound Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.