Individual provider Active NPI

Xiaofeng Zhong, M.D.

  • Family Medicine Physician
  • Rincon, GA
National Provider Identifier
1700105004
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69466 Issued in GA
Practice address
100 Goshen Rd
Rincon, GA 31326-5744
Phone
(912) 826-6000
NPI assigned
May 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69466 GA Primary

Addresses

Primary practice location

100 Goshen Rd
Rincon, GA 31326-5744

Mailing address

PO Box 818
Springfield, GA 31329-0818
Phone (912) 826-6000

Other practice location 1

3 Hidden Creek Dr
Guyton, GA 31312-4590
Phone (912) 772-8620

Other practice location 2

1451 Highway 21 S Ste H
Springfield, GA 31329-5244
Phone (912) 754-1035

Other practice location 3

459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 754-0182

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
I20130807000539 GA Practitioner - Family Practice 0345482154 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69466GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Hospital, Inc. Current Accepting new patients
Effingham Hospital, Inc. CurrentSince Dec 4, 2016 Accepting new patients
Effingham Hospital, Inc. Family Medicine CurrentSince Dec 4, 2016 Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients

Locations

3 Hidden Creek Dr
Guyton, GA 31312
Phone (912) 772-8620

7306 State Highway 21
Ste 105
Port Wentworth, GA 31407
Phone (912) 826-1500

100 Goshen Rd
Rincon, GA 31326
Phone (912) 826-6000

800 Towne Park Dr
Ste 100
Rincon, GA 31326
Phone (912) 826-0052

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1451 Highway 21 S
Ste H
Springfield, GA 31329
Phone (912) 754-1035

Organizations & group practices 6

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700105004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290818",
            "telephone_number": "912-826-6000",
            "fax_number": "912-826-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GOSHEN RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265744",
            "telephone_number": "912-826-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Hidden Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Guyton",
            "state": "GA",
            "postal_code": "313124590",
            "country_code": "US",
            "telephone_number": "912-772-8620",
            "fax_number": "912-772-8621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 Highway 21 S Ste H",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313295244",
            "country_code": "US",
            "telephone_number": "912-754-1035",
            "fax_number": "912-754-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-754-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHONG",
        "first_name": "XIAOFENG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.