Organization Active NPI

Fengs Medical & Neurological Clinic PC

  • Specialist
  • Decatur, GA
National Provider Identifier
1588846687
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FENGS MEDICAL & NEUROLOGICAL CLINIC PC
Practice address
2785 Lawrenceville Hwy Ste 106
Decatur, GA 30033-2515
Phone
(770) 938-6989
Fax
(770) 938-6948
NPI assigned
Nov 29, 2007
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Mr. Feng Feng, MD, PHD
Title
President
Phone
(404) 587-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2785 Lawrenceville Hwy Ste 106
Decatur, GA 30033-2515

Mailing address

2785 Lawrenceville Hwy Ste 106
Decatur, GA 30033-2515
Phone (770) 938-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000365 GA Part B Supplier - Clinic/Group Practice 1658367750 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

3331 Chamblee Dunwoody Rd
Chamblee, GA 30341
Phone (404) 587-1948

2785 Lawrenceville Hwy
Ste 106
Decatur, GA 30033
Phone (770) 938-6989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1588846687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY STE 106",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "770-938-6989",
            "fax_number": "770-938-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY STE 106",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "770-938-6989",
            "fax_number": "770-938-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENGS MEDICAL & NEUROLOGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "FENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-587-1948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.