Nissi Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NISSI FAMILY MEDICINE LLC

Practice address

1810 Mulkey Rd
Suite 105
Austell, GA 30106-1151

Phone

(678) 540-7597

Fax

(770) 645-9802

NPI assigned

Nov 16, 2014

Organization subpart

No

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

Authorized official

Name

Marga Ngwang, MDNPI 1861703654

Title

Owner/Medical Director

Phone

(678) 540-7597

Specialties & licenses 1

Addresses

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marga B. Ngwang, M.D.

  • Family Medicine Physician
  • Austell, GA
  • NPI 1861703654
  Medicare reassignment NPD Authorized official
• Sonia Verna Francis, NP

  • Family Nurse Practitioner
  • Covington, GA
  • NPI 1932558137
  Medicare reassignment NPD
• Tiffany Eileen Wells, NP-C

  • Family Nurse Practitioner
  • Lewiston, ID
  • NPI 1821509183

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416096000000",
    "number": "1083010201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 105",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "678-540-7597",
            "fax_number": "770-645-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 105",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "678-540-7597",
            "fax_number": "770-645-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSI FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A",
        "authorized_official_last_name": "NGWANG",
        "authorized_official_first_name": "MARGA",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-540-7597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thi Minh Diem Nguyen, MD
• Marga B. Ngwang, M.D.
• Rufus William Nicks, PHARMD
• Abhinav Nimmagadda, EMT-B
• Niranjan J Dave MD PC
• Michael Nitzken
• Pamela Emade Njungwe
• Fongalla Nkweti, DMD
• Nnamdi Nkwuo
• Noble & Caring Home Service

• Family Medicine Physician in Austell, GA
• Providers in Austell, 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 Nov 16, 2014; 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.