NPIMap

Individual provider Active NPI

Song Hum NA, M.D.

  • Internal Medicine Physician
  • Buford, GA
National Provider Identifier
1851440127
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038059 Issued in GA
Practice address
4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741
Phone
(678) 546-5059
Fax
(678) 546-5470
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038059 GA Primary

Addresses

Primary practice location

4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741

Mailing address

4995 Lanier Islands Pkwy Ste a
Buford, GA 30518-1741
Phone (678) 546-5059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000520 GA Practitioner - Internal Medicine 8022284272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4995 Lanier Island Pkwy
Suite a
Buford, GA 30518-1741
Phone (678) 546-5059

Hospital & facility affiliations

  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
24.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Medcare,P.C. Internal Medicine CurrentSince Jun 3, 2002 Accepting new patients
Southeast Medical Group, P.C. PastSince Sep 12, 2022 Accepting new patients
Priority Primary Care Internal Medicine Past Accepting new patients

Locations

4995 Lanier Islands Pkwy
Ste A
Buford, GA 30518
Phone (678) 546-5059

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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 7

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1851440127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 LANIER ISLANDS PKWY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181741",
            "telephone_number": "678-546-5059",
            "fax_number": "678-546-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 LANIER ISLANDS PKWY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181741",
            "telephone_number": "678-546-5059",
            "fax_number": "678-546-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "SONG",
        "middle_name": "HUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.