Michelle Soojung Hong
Individual provider Active NPI Nurse Practitioner · Stone Mountain, GA
NPI 1760922686 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1760922686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN231758 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerwell Senior Primary Care Ga PC
Practice addresses (Care Compare)
3245 Lawrenceville Suwanee Rd
Suite 100
Suwanee, GA 30024-6541
Phone (770) 341-9135
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711001095 | GA | Practitioner - Nurse Practitioner | 4385913169 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services,LLC | Current |
Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Current |
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
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
3245 Lawrenceville Suwanee Rd
Ste 100
Suwanee, GA 30024
Phone (678) 546-8646
Interoperability endpoints
- mhong42014@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN231758 | GA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.hong.1@29601.direct.athenahealth.com | Health Information Exchange (HIE) |
Other providers in Stone Mountain, GA
- Latechia Hogue
- Amber Denise Holloman
- Ashley Akunna Holmes
- Evan Alexander Holt
- Home Healthcare/CPR Services
- Kelly Hooper
- Hope Dispensary
- Hope Living Support LLC
- Hope Medical Group Inc
- Hope Medical, LLC
All providers in Stone Mountain, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.