Active NPI
William W. Tung MD P.C.
- Neurology Physician
- Dallas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 053409
- Legal business name
- WILLIAM W. TUNG MD P.C.
- Practice address
- 2713 Charles Hardy Pkwy Ste 221
Dallas, GA 30157-9470 - Phone
- (678) 501-5420
- Fax
- (678) 501-5427
- NPI assigned
- Jul 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William W Tung, MD
- Title
- Physician
- Phone
- (770) 953-3603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 053409 | GA | Primary |
Addresses
Primary practice location
2713 Charles Hardy Pkwy Ste 221
Dallas, GA 30157-9470
Mailing address
1770 High TRL
Atlanta, GA 30339-5617
Phone (770) 953-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
4904 Timber Ridge Dr
Ste 305
Douglasville, GA 30135
Phone (678) 501-5420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Douglasville, GA
- NPI 1154345205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1861705196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 HIGH TRL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395617",
"telephone_number": "770-953-3603",
"fax_number": "470-787-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 CHARLES HARDY PKWY STE 221",
"city": "DALLAS",
"state": "GA",
"postal_code": "301579470",
"telephone_number": "678-501-5420",
"fax_number": "678-501-5427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM W. TUNG MD P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-15",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "TUNG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "770-953-3603",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "053409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.