Individual provider Active NPI

Ningxing Chen, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brunswick, GA
National Provider Identifier
1043427636
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
059386 Issued in GA
Practice address
203 Indigo Dr
Brunswick, GA 31525-6865
Phone
(912) 261-2669
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 059386 GA Primary

Addresses

Primary practice location

203 Indigo Dr
Brunswick, GA 31525-6865

Mailing address

PO Box 537046
Atlanta, GA 30353-7046
Phone (912) 261-2669

Other practice location 1

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 261-2669

Other practice location 2

3011 Hampton Ave
Brunswick, GA 31520-4264
Phone (912) 261-2669

Other identifiers 1

IdentifierTypeStateIssuer
399731962AMedicaidGA

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
I20070723000730 GA Practitioner - Pathology 0345341194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Kansas City College of Medicine and Surgery, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 322-5155

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

203 Indigo Dr
Brunswick, GA 31525-6865
Phone 91226126691205

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000

459 Ga Hwy 119 S
Springfield, GA 31329-3021
Phone 91226126691205

801 W Gordon St
Thomaston, GA 30286-3426
Phone (912) 261-2669

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059386GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Aug 26, 2024 Accepting new patients
Coastal Care Inc Past Accepting new patients
Southeastern Pathology Associate Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

Interoperability endpoints

  • Direct secure messaging: jhon446835@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043427636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537046",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303537046",
            "telephone_number": "912-261-2669",
            "fax_number": "912-261-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 INDIGO DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315256865",
            "telephone_number": "912-261-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204722",
            "country_code": "US",
            "telephone_number": "912-261-2669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 Hampton Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204264",
            "country_code": "US",
            "telephone_number": "912-261-2669",
            "fax_number": "912-261-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "NINGXING",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "059386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399731962A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.