Individual provider Active NPI

Eric Chung

  • Surgery Physician
  • Dublin, GA
National Provider Identifier
1649699620
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A17012 Issued in CA
Practice address
200 Fairview Park Dr
Dublin, GA 31021-2547
Phone
(478) 410-5754
Fax
(478) 410-5755
NPI assigned
Apr 7, 2014
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A17012 CA Primary

Addresses

Primary practice location

200 Fairview Park Dr
Dublin, GA 31021-2547

Mailing address

200 Fairview Park Dr
Dublin, GA 31021-2547
Phone (478) 410-5754

Other practice location 1

205 E River Park Cir Ste 460
Fresno, CA 93720-1585
Phone (559) 261-4500

Other practice location 2

923 Lexington Ave
Fort Smith, AR 72901-4943
Phone (479) 709-7350

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
I20230228001238 GA Practitioner - General Surgery 3173850815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dublin Multispecialty LLCGroup PAC ID 8820090434, 6 clinicians

Practice addresses (Care Compare)

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux47
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17012CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Multispecialty LLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Fairview Park, Limited Partnership Single Specialty Past Accepting new patients

Locations

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: eric.chung@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1649699620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-410-5754",
            "fax_number": "478-410-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-410-5754",
            "fax_number": "478-410-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E River Park Cir Ste 460",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937201585",
            "country_code": "US",
            "telephone_number": "559-261-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014943",
            "country_code": "US",
            "telephone_number": "479-709-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A17012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.