DR. HANJOON MIKE SONG MD
NPI 1063502375
Plastic Surgery in Duluth, GA

Active since October 15, 2006PECOS EnrolledAccepts Medicare Assignment
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097(770) 495-1477(770) 495-1488 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hanjoon Mike Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANJOON MIKE SONG MD (NPI 1063502375) is an individual plastic surgery provider in Duluth, Georgia, licensed in Georgia (057679) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Duluth, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1063502375
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. HANJOON MIKE SONGCredential: MD
Location Address3096 PEACHTREE INDUSTRIAL BLVDDuluth, GA 30097
Mailing Address3096 Peachtree Industrial BlvdDuluth, GA 30097 · (770) 495-1477 · Fax (770) 495-1488
Fax(770) 495-1488
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1999
Enumeration DateOctober 15, 2006
Last NPPES UpdateAugust 10, 2015
NPI 1063502375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in GA · 057679
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
3096 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30097

Other Identifiers 1

Medicaid762679427BGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hanjoon Mike Song Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305916206
PECOS Enrollment IDI20080604000339
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30097
Plastic Surgery
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30097
Surgery (Plastic and Reconstructive Surgery)
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30097
Clinic/Center (Ambulatory Surgical)
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30097
Plastic Surgery
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hanjoon Song's NPI number?

The NPI number for Hanjoon Song is 1063502375. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Where is Hanjoon Song located?

Hanjoon Song practices at 3096 Peachtree Industrial Blvd, Duluth, GA 30097. The listed phone number is (770) 495-1477.

What is Hanjoon Song's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Hanjoon Song enrolled in Medicare?

Yes. Hanjoon Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hanjoon Song accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hanjoon Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hanjoon Song affiliated with any hospitals?

According to CMS data, Hanjoon Song is affiliated with Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Hanjoon Song was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.