Neocare of Central Georgia, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

076861 Issued in GA

Legal business name

NEOCARE OF CENTRAL GEORGIA, PC

Doing business as

Family Care of Middle Georgia

Practice address

3203 Vineville Ave
Macon, GA 31204-2323

Phone

(478) 471-0273

Fax

(478) 471-1471

NPI assigned

Aug 19, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Ho, PA-C, MBANPI 1821439811

Title

Office Manager

Phone

(478) 471-0273

Specialties & licenses 2

Addresses

Other identifiers 12

Other names 1

• Family Care of Middle Georgia Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Gung Ho, PA-C, MBA

  • Medical Physician Assistant
  • Macon, GA
  • NPI 1821439811
  Medicare reassignment Authorized official
• Benjamin Laurence Ho, M.D.

  • Family Medicine Physician
  • Macon, GA
  • NPI 1982015939
  Medicare reassignment NPD
• Chen-Kung Ho, M.D., PH.D.

  • Pediatrics Physician
  • Macon, GA
  • NPI 1285792283
  NPD (past)
• Kathryn Page, M.D.

  • Pediatrics Physician
  • Milledgeville, GA
  • NPI 1568545473
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1053627703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 VINEVILLE AVE STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042323",
            "telephone_number": "478-471-0273",
            "fax_number": "478-471-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042323",
            "telephone_number": "478-471-0273",
            "fax_number": "478-471-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Baland Cir",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310613921",
            "country_code": "US",
            "telephone_number": "478-453-0453",
            "fax_number": "478-452-2698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2938 Heritage Pl NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617209",
            "country_code": "US",
            "telephone_number": "478-453-0453",
            "fax_number": "478-452-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEOCARE OF CENTRAL GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-471-0273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076861",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121342G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171965D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000262996H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000262996I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053347D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171965F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053347E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171965E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053347C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care of Middle Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Nelson, RBT
• Katharine E Nelson, P.T.
• Norman Crooks Nelson Jr., M.D.
• Skylar Nelson, NP
• Susan M Nelson, LDO
• Ashley Quinzetta Nesbitt
• Candace L. Nesmith, FNP-C
• William Seth Nesmith, RN
• Cynthia M Nessing, FNP-C
• James T Nessing, D.C.

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.