Individual provider Active NPI

Cici Zhang, MD

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
National Provider Identifier
1528328077
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
77670 Issued in GA
Practice address
5445 Meridian Mark Rd Ste 180
Atlanta, GA 30342-4755
Phone
(770) 277-4277
Fax
(404) 252-5745
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X 77670 GA Primary

Addresses

Primary practice location

5445 Meridian Mark Rd Ste 180
Atlanta, GA 30342-4755

Mailing address

33 11TH St NE Unit 1909
Atlanta, GA 30309-4673
Phone (847) 436-2067

Other names 1

  • Xifan Zhang Former name

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
I20200627000012 GA Practitioner - Colorectal Surgery (Proctology) 2567715089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

5445 Meridian Mark Rd
Suite 180
Atlanta, GA 30342-4755
Phone (770) 277-4277

5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Phone (770) 551-9633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77670GAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwell Health Current Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Jun 1, 2020 Accepting new patients
Georgia Colon & Rectall Surgical Associates PC Colon & Rectal Surgery PastSince May 10, 2020 Accepting new patients

Locations

721 Wellness Way
Ste 200
Lawrenceville, GA 30046

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5445 Meridian Mark Rd
Ste 180
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: cicizhang@northwell.allscriptsdirect.net

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 2

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1528328077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 11TH ST NE UNIT 1909",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094673",
            "telephone_number": "847-436-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424755",
            "telephone_number": "770-277-4277",
            "fax_number": "404-252-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "CICI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "77670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIFAN",
            "last_name": "ZHANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.