Individual provider Active NPI

Danzhao Wang, MD, PHD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1649456401
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
001524 Issued in GA
Practice address
2004 Ridgewood Dr NE
Tufts House, Suite 218
Atlanta, GA 30322-1031
Phone
(404) 727-5157
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 001524 GA Primary

Addresses

Primary practice location

2004 Ridgewood Dr NE
Tufts House, Suite 218
Atlanta, GA 30322-1031

Mailing address

2360 Elon Way
Decatur, GA 30033-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001524GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Nov 3, 2024 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Nov 3, 2024 Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

Interoperability endpoints

  • Direct secure messaging: dwang57202@direct.emory.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1649456401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 ELON WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 RIDGEWOOD DR NE",
            "address_2": "TUFTS HOUSE, SUITE 218",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221031",
            "telephone_number": "404-727-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DANZHAO",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "001524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.