Individual provider Active NPI

Ngano Tongesai Frank Takawira, MD

  • Anesthesiology Physician
  • Suwanee, GA
National Provider Identifier
1083893713
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
73500 Issued in GA
Practice address
1090 River Laurel Dr
Suwanee, GA 30024
Phone
(770) 979-9996
Fax
(770) 979-1202
NPI assigned
Oct 30, 2007
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 73500 GA Primary
Internal Medicine Physician 207R00000X MD43272 PA
Interventional Pain Medicine Physician 208VP0014X 73500 GA

Addresses

Primary practice location

1090 River Laurel Dr
Suwanee, GA 30024

Mailing address

1700 Medical Way
Anesthesia Department
Snellville, GA 30078-2195
Phone (770) 979-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150604001248 GA Practitioner - AnesthesiologyPractitioner - Pain Management 7911087507 Reassigns benefits to 7 organizations
I20200319002000 AL Practitioner - Anesthesiology 7911087507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

2548 Weems Rd
Columbus, GA 31909-6248
Phone (706) 323-8803

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD43272PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center CurrentSince Oct 1, 2019 Accepting new patients
New London Anesthesia & Pain Consultants PC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
Dpi of Georgia, LLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Amsol Anesthetists of Georgia, LLC Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiology CurrentSince Apr 30, 2019 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Mercy Management of Southeastern Pennsylvania Past Accepting new patients
Gwinnett Interventional Pain, LLC Past Accepting new patients

Locations

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

165 Northpark Trl
Stockbridge, GA 30281
Phone (770) 506-1800

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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 2

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1083893713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782195",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 RIVER LAUREL DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAWIRA",
        "first_name": "NGANO",
        "middle_name": "TONGESAI FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "73500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD43272",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "73500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.