Minsheng Wang, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64296 Issued in GA

Practice address

4705 Lawrenceville Hwy NW Ste B
Lilburn, GA 30047-3667

Phone

(678) 691-0839

Fax

(404) 481-2062

NPI assigned

Sep 15, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lilburn Medical Center PC

  • Primary Care Clinic/Center
  • Lilburn, GA
  • NPI 1083165294
  NPD (past) Authorized official
• White'S Pediatrics

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1104005594
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679769483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "678-691-0839",
            "fax_number": "404-481-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "678-691-0839",
            "fax_number": "404-481-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Chattanooga Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202672",
            "country_code": "US",
            "telephone_number": "706-876-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "MINSHENG",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "64296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• O'Keith Wallace, BS, MS, CAMS11
• Angela Marie Walls, CCC-SLP
• Roshelle Wanderlee Walters Rodney
• Elizabeth Ward, ATC
• Warm Hearts Home Care Services LLC
• Felicity M. Warren, M.D.
• Tia L Warren, LCSW
• Kobena Y Waters, MD

• Pediatrics Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.