Active NPI
Hilaire Shongo-Hiango, MD
- Addiction Psychiatry Physician
- Suwanee, GA
National Provider Identifier
1477767697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 65058
- Practice address
- 3312 Heathchase LN
Suwanee, GA 30024-4639 - Phone
- (678) 634-5539
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 65058 | GA | Primary |
| Psychiatry Physician | 2084P0800X | 24967 | OK |
Addresses
Primary practice location
3312 Heathchase LN
Suwanee, GA 30024-4639
Mailing address
3312 Heathchase LN
Suwanee, GA 30024-4639
Phone (678) 634-5539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24967 | OK | MD | Psychiatry Physician |
| 65058 | GA | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1477767697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 HEATHCHASE LN",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244639",
"telephone_number": "678-634-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 HEATHCHASE LN",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244639",
"telephone_number": "678-634-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHONGO-HIANGO",
"first_name": "HILAIRE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "GA",
"license": "65058",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "24967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.