Individual provider Active NPI

Gayoun Hong, FNP-BC, APRN

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1952194474
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1013108 Issued in TX
Practice address
925 York Dr
Desoto, TX 75115-2043
Phone
(972) 572-1600
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1013108 TX Primary

Addresses

Primary practice location

925 York Dr
Desoto, TX 75115-2043

Mailing address

925 York Dr
Desoto, TX 75115-2043
Phone (972) 572-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250610001398 TX Practitioner - Nurse Practitioner 8921518887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Cardiovascular Group PLLCGroup PAC ID 2567853153, 3 clinicians

Practice addresses (Care Compare)

925 York Dr
Desoto, TX 75115-2043
Phone (972) 572-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013108TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Cardiovascular Group PLLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

925 York Dr
Desoto, TX 75115
Phone (972) 572-1600

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1952194474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-572-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-572-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "GAYOUN",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1013108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.