Individual provider Active NPI

Lily Gem Hwang, MD

  • Allergy & Immunology Physician
  • Roswell, GA
National Provider Identifier
1669648986
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
062713 Issued in GA
Practice address
1357 Hembree Rd Ste 200
Roswell, GA 30076-5710
Phone
(770) 953-3331
Fax
(770) 751-8421
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 062713 GA
Pediatrics Physician 208000000X 062713 GA
Allergy & Immunology Physician 207K00000X 062713 GA Primary

Addresses

Primary practice location

1357 Hembree Rd Ste 200
Roswell, GA 30076-5710

Mailing address

5000 Riverview Rd
Sandy Springs, GA 30327-4238
Phone (312) 952-7720

Other practice location 1

600 Professional Dr Ste 210
Lawrenceville, GA 30046-7650
Phone (770) 995-1537

Other identifiers 2

IdentifierTypeStateIssuer
647362657JMedicaidGA
647362657KMedicaidGA

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
I20090824000085 GA Practitioner - Allergy/Immunology 8527112713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Allergy and Asthma Clinic PAGroup PAC ID 1254372006, 42 clinicians

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 200
Roswell, GA 30076-5710
Phone (770) 475-0807

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Jun 25, 2011 Accepting new patients
Carolinas Physicians Network Inc Allergy & Immunology Past Accepting new patients
Thomas a. Johnson, DDS Past Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711

2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300

1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838

4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374

1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400

6300 Hospital Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 495-6258

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030

790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268

1519 Johnson Ferry Rd
Ste 200
Marietta, GA 30062
Phone (770) 973-5578

1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252

14 Riverbend Dr SW
Rome, GA 30161
Phone (706) 234-0094

1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807

8200 Roberts Dr
Ste 450
Sandy Springs, GA 30350

800 Mount Vernon Hwy NE
Ste 390
Sandy Springs, GA 30328
Phone (404) 252-4207

1600 Medical Way
Ste 200
Snellville, GA 30078
Phone (770) 979-7466

1780 Presidential Cir
#200
Snellville, GA 30078
Phone (678) 280-0202

830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888

4025 Johns Creek Pkwy
Ste 300
Suwanee, GA 30024
Phone (770) 495-6258

1272 Virgil Langford Rd
Ste 202
Watkinsville, GA 30677
Phone (770) 880-6955

100 Stoneforest Dr
Ste 220
Woodstock, GA 30189
Phone (770) 924-0096

Interoperability endpoints

  • Direct secure messaging: lhwang40270@choa.gadirect.net
  • Direct secure messaging: lily.hwang@atlantaallergy.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

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.

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1669648986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RIVERVIEW RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303274238",
            "telephone_number": "312-952-7720",
            "fax_number": "678-803-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765710",
            "telephone_number": "770-953-3331",
            "fax_number": "770-751-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Professional Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467650",
            "country_code": "US",
            "telephone_number": "770-995-1537",
            "fax_number": "770-822-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "LILY",
        "middle_name": "GEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062713",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "062713",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "062713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647362657J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647362657K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.