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JINHYUK AUGUSTINE SONG
NPI 1225779580
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 01, 2022PECOS Enrolled
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M, WINSTON SALEM, NC 27157(336) 716-4551 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jinhyuk Augustine Song NPPES

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

JINHYUK AUGUSTINE SONG (NPI 1225779580) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225779580
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJINHYUK AUGUSTINE SONG
Location AddressATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY MWinston Salem, NC 27157-1087
Mailing AddressAtrium Health Wake Forest Baptist Dept Of Psychiatry MWinston Salem, NC 27157-1087 · (336) 716-4551
Phone(336) 716-4551
Sole ProprietorNo
Enumeration DateApril 1, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1225779580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M, Winston Salem, NC 27157
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jinhyuk Augustine Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ANDREW CHARLES FREGENAL MD
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551

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 Jinhyuk Song's NPI number?

The NPI number for Jinhyuk Song is 1225779580. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Jinhyuk Song located?

Jinhyuk Song practices at Atrium Health Wake Forest Baptist Dept Of Psychiatry M, Winston Salem, NC 27157. The listed phone number is (336) 716-4551.

What is Jinhyuk Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jinhyuk Song enrolled in Medicare?

Yes. Jinhyuk Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jinhyuk Song was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.