Jong K Song, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

15637 Issued in GA

Practice address

6185 Buford Hwy BLDG G
Norcross, GA 30071

Phone

(770) 446-0929

Fax

(770) 446-6977

NPI assigned

Jan 10, 2007

Last updated

Oct 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFAGCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Pan Asian Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Peachtree Corners, GA
  • NPI 1336493311
  Medicare reassignment NPD
• Center for Pan Asian Community Services, Inc.

  dba CPACS@Dekalb

  • Case Management Agency
  • Peachtree Corners, GA
  • NPI 1538470695
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1568511301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY",
            "address_2": "BLDG G",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY BLDG G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JONG",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "15637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149479B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soleo Health Inc.
• Soleo Health Inc.
• Julie L Solinski, LCSW
• Susana M Solomon, APC
• Faraz Soltanian, D.D.S.
• Neha N Soni, MD
• Sonic Care Solutions LLC
• Gerardo L. Sotomayor, M.D.
• Soul Bloom Counseling, LLC
• Southcare Spinal Rehab

• Obstetrics & Gynecology Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.