Individual provider Active NPI

Michelle Soojung Hong

  • Nurse Practitioner
  • Stone Mountain, GA
National Provider Identifier
1760922686
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN231758 Issued in GA
Practice address
5244 Memorial Dr Ste 1101
Stone Mountain, GA 30083-3157
Phone
(404) 905-0100
Fax
(877) 890-2406
NPI assigned
Feb 24, 2017
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN231758 GA Primary

Addresses

Primary practice location

5244 Memorial Dr Ste 1101
Stone Mountain, GA 30083-3157

Mailing address

5673 Peachtree Dunwoody Rd
Suite 775
Atlanta, GA 30342-1731
Phone (404) 251-2400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.hong.1@29601.direct.athenahealth.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711001095 GA Practitioner - Nurse Practitioner 4385913169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3245 Lawrenceville Suwanee Rd
Suite 100
Suwanee, GA 30024-6541
Phone (770) 341-9135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN231758GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Jun 26, 2023 Accepting new patients
Centerwell Senior Primary Care Ga PC Current Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jun 26, 2023 Accepting new patients
Centerwell Senior Primary Care Ga PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-4100

3245 Lawrenceville Suwanee Rd
Ste 100
Suwanee, GA 30024
Phone (678) 482-5441

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: mhong42014@direct.emory.org
  • Direct secure messaging: michelle.hong.1@29601.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1760922686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-251-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 MEMORIAL DR STE 1101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833157",
            "telephone_number": "404-905-0100",
            "fax_number": "877-890-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "MICHELLE",
        "middle_name": "SOOJUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN231758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.hong.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5244 Memorial Dr Ste 1101",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300833157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.