Southern Pulmonary Care

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SOUTHERN PULMONARY CARE

Practice address

34 Upper Riverdale Rd SE Ste 206
Riverdale, GA 30274-2635

Phone

(770) 473-1993

Fax

(770) 471-3224

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony W Cheng, M.D.

Title

Owner

Phone

(770) 473-1993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902029135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD SE STE 206",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "770-473-1993",
            "fax_number": "770-471-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD SE STE 206",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "770-473-1993",
            "fax_number": "770-471-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PULMONARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-473-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00462624D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Crescent Physicians Group, Inc.
• Southern Crescent Physicians Group, Inc.
• Southern Crescent Radiation Oncology Center LLC
• Southern Heart Specialists, P.C.
• Southern Medical Products, Inc.
• Southern Regional Accident & Injury Inc.
• Southern Regional Health System, Inc (Southern Regional Medical Center)
• Southern Regional Medical Center - Prime Healthcare (Southern Regional Outpatient Pharmacy)
• Southern Regional Medical Center, Inc (Inpatient Rehab Unit)
• Southern Regional Medical Center, Inc. (Riverwoods)

• Pulmonary Disease Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.