Individual provider Active NPI

Eugene Yo-Jen Sun, MD

  • Psychiatry Physician
  • Thomasville, GA
National Provider Identifier
1730398496
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
062170 Issued in GA
Practice address
401 Old Albany Rd
Thomasville, GA 31792-4014
Phone
(229) 228-8100
Fax
(229) 228-8154
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 062170 GA Primary

Addresses

Primary practice location

401 Old Albany Rd
Thomasville, GA 31792-4014

Mailing address

401 Old Albany Rd
Thomasville, GA 31792-4014
Phone (229) 228-8100

Other identifiers 1

IdentifierTypeStateIssuer
136681885AMedicaidGA

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
I20090715000108 GA Practitioner - Psychiatry 9638221161 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Pines Community Service BoardGroup PAC ID 5799772844, 13 clinicians
SGMP Southland, LLCGroup PAC ID 1153563770, 28 clinicians
Albany Area Community SVC. BoardGroup PAC ID 9032190483, 19 clinicians

Practice addresses (Care Compare)

1102 Smith Ave
Thomasville, GA 31792-5740
Phone (912) 227-5468

2217 Pineview Dr
Valdosta, GA 31602-7316
Phone (229) 671-6700

401 Old Albany Rd
Thomasville, GA 31792-4014
Phone (229) 228-8115

601 11TH Ave
Albany, GA 31701-1645
Phone (229) 430-4140

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SGMP Southland LLC Psychiatry CurrentSince Jan 2, 2017 Accepting new patients
Albany Area Community SVC. Board CurrentSince Nov 17, 2014 Accepting new patients
Georgia Pines Community Service Board CurrentSince Nov 18, 2017 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
John D Archbold Memorial Hospital Inc CurrentSince Aug 3, 2009 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
John D. Archbold Memorial Hospital, Inc. CurrentSince Aug 3, 2009 Accepting new patients
Tift Regional Health System, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Tift Regional Health System Inc CurrentSince Apr 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

601 11th Ave
Albany, GA 31701
Phone (229) 352-9368

321 William Jr St
Albany, GA 31707
Phone (229) 214-5190

116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

2927 Demere Rd
St Simons Island, GA 31522
Phone (912) 638-1999

401 Old Albany Rd
Thomasville, GA 31792
Phone (229) 228-8100

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

Organizations & group practices 10

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 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1730398496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OLD ALBANY RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924014",
            "telephone_number": "229-228-8100",
            "fax_number": "229-228-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD ALBANY RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924014",
            "telephone_number": "229-228-8100",
            "fax_number": "229-228-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "EUGENE",
        "middle_name": "YO-JEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "062170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136681885A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.