Individual provider Active NPI

Shaoshan Steven Wang, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1952354078
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
051856 Issued in GA
Practice address
1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone
(404) 962-6000
Fax
(404) 962-6001
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 051856 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

Other identifiers 2

IdentifierTypeStateIssuer
06BDJFVOtherGAMEDICARE ID
133592258HMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Steven.Wang@northsidehospital.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060630000043 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496767899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1255 Friendship Rd
Suite 210
Braselton, GA 30517-5619
Phone (404) 962-6000

1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565

2000 Howard Farm Dr
Suite 450
Cumming, GA 30041-6085
Phone (404) 962-6000

2200 Medical Ctr Blvd
Suite 200
Lawrenceville, GA 30046-7765
Phone (404) 962-6000

2200 Medical Ctr Blvd
Suite G1
Lawrenceville, GA 30046-7751
Phone (404) 962-2500

2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone (770) 496-5555

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

6135 Barfield Rd
Suite 100
Sandy Springs, GA 30328-4308
Phone (678) 223-7928

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Medical Center, Inc. CurrentSince Aug 2, 2006 Accepting new patients
North Atlanta Professional Services LLC Cardiovascular Disease CurrentSince Apr 1, 2007 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Apr 6, 2011 Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Aug 2, 2006 Accepting new patients
Northside Cardiovascular Professional Services, LLC Cardiovascular Disease CurrentSince Jun 1, 2024 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Apr 6, 2011 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309

1255 Friendship Rd
Ste 240
Braselton, GA 30517

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

2000 Howard Farm Dr
Ste 450
Cumming, GA 30041
Phone (901) 489-4991

2000 Howard Farm Dr
Ste 200
Cumming, GA 30041
Phone (770) 667-4337

81 Northside Dawson Dr
Ste 305
Dawsonville, GA 30534
Phone (678) 456-4947

3855 Pleasant Hill Rd
Ste 270
Duluth, GA 30096
Phone (678) 257-7078

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5667 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 851-5100

6135 Barfield Rd
Ste 100
Sandy Springs, GA 30328

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

Interoperability endpoints

  • Direct secure messaging: steven.wang@northsidehospital.cernerdirect.com

Organizations & group practices 7

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 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1952354078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHAOSHAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "051856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "06BDJFV",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133592258H",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Steven.Wang@northsidehospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1110 W Peachtree St NW Ste 920",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.