Active NPI
Russell Kinshun Fung, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 88594
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 297-2238
- Fax
- (770) 533-6578
- NPI assigned
- Mar 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 88594 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 1060
Oakwood, GA 30566-0018
Phone (770) 718-1122
Other practice location 1
653-1 W 8th St Fl 2
Jacksonville, FL 32209-6511
Phone (904) 244-7514
Other practice location 2
743 Spring Street NE
Gainesville, GA 30501-3715
Phone (702) 972-2007
Other practice location 3
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 297-2200
Other practice location 4
316 N Broad St
Winder, GA 30680-2150
Phone (770) 297-2238
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
- NGMC Barrow, LLC
- Northeast Georgia Medical Center Lumpkin
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic PC | Current | Accepting new patients | |
| The Longstreet Clinic, PC | Current | Accepting new patients | |
| Northeast Georgia Community Physicians LLC | Current | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
Organizations & group practices 3
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.
-
dba Longstreet of NGHS
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dahlonega, GA
- NPI 1083174973
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1497118285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305660018",
"telephone_number": "770-718-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-297-2238",
"fax_number": "770-533-6578"
}
],
"practiceLocations": [
{
"address_1": "653-1 W 8th St Fl 2",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096511",
"country_code": "US",
"telephone_number": "904-244-7514",
"fax_number": "904-244-5650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring Street NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "702-972-2007",
"fax_number": "770-534-8139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 N Broad St",
"address_purpose": "LOCATION",
"city": "Winder",
"state": "GA",
"postal_code": "306802150",
"country_code": "US",
"telephone_number": "770-297-2238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNG",
"first_name": "RUSSELL",
"middle_name": "KINSHUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "88594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.