Individual provider Active NPI

Catherine A Nkongho, NP

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1023631157
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN245232 Issued in GA
Practice address
437 Concord Cir
McDonough, GA 30253-8001
Phone
(240) 491-6813
NPI assigned
May 23, 2020
Last updated
May 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2020

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 RN245232 GA Primary

Addresses

Primary practice location

437 Concord Cir
McDonough, GA 30253-8001

Mailing address

437 Concord Cir
McDonough, GA 30253-8001
Phone (240) 491-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210519000686 GA Practitioner - Nurse Practitioner 3678972924 Reassigns benefits to 5 organizations
I20241209000479 NC Practitioner - Nurse Practitioner 3678972924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swift Health Medical GroupGroup PAC ID 5698011211, 3 clinicians

Practice addresses (Care Compare)

6053 Jonesboro Rd
Morrow, GA 30260-1106
Phone (770) 824-4343

773 Hwy 138 SW
Suite 1
Riverdale, GA 30296-1599
Phone (240) 491-6813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN245232GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Feb 23, 2021 Accepting new patients
South Atlanta Urgent Care Clinic LLC CurrentSince Apr 24, 2023 Accepting new patients
Atlanta Plus Urgent Care CurrentSince Oct 1, 2021 Accepting new patients
Swift Health Medical Group CurrentSince Apr 1, 2023 Accepting new patients
C&C Express Urgent Care LLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

5185 Old National Hwy
College Park, GA 30349
Phone (404) 763-9300

2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051

6053 Jonesboro Rd
Morrow, GA 30260
Phone (770) 824-4343

773 Highway 138 SW
Ste 1
Riverdale, GA 30296
Phone (240) 491-6813

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Interoperability endpoints

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1023631157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 CONCORD CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538001",
            "telephone_number": "240-491-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 CONCORD CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538001",
            "telephone_number": "240-491-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKONGHO",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN245232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.