Individual provider Active NPI

Nokuthula Nondumiso Msimanga, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Marietta, GA
National Provider Identifier
1104950096
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
61803 Issued in GA
Practice address
310 Kennestone Hospital Blvd
Marietta, GA 30060-1120
Phone
(770) 793-7899
Fax
(770) 793-7859
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61803 GA
Family Medicine Physician 207Q00000X LL 27322 SC
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 61803 GA Primary

Addresses

Primary practice location

310 Kennestone Hospital Blvd
Marietta, GA 30060-1120

Mailing address

310 Kennestone Hospital Blvd
Marietta, GA 30060-1120
Phone (770) 793-7899

Other practice location 1

1150 Cascade Parkway
Dept of Ambulatory Medicine
Atlanta, GA 30311
Phone (404) 365-0966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmsimanga70606@directwellstar.org

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
I20120106000537 GA Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 1759469562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates Professional Services, LLCGroup PAC ID 1355578485, 23 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1400 Northside Forsyth Dr
Suite 250
Cumming, GA 30041-7701
Phone (800) 248-5535

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Centerwell Home Health Home health agency, Cumming, GA, CCN 117136
  • Community Home Health, an Amedisys Company Home health agency, Woodstock, GA, CCN 117130
  • Amedisys Hospice Care of Kennesaw Hospice, Kennesaw, GA, CCN 111686
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
70.82
Promoting interoperability
78
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61803GAMDFamily Medicine Physician
LL 27322SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2014 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Nov 28, 2011 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2014 Accepting new patients
Medical Associates Professional Services, LLC Family Medicine CurrentSince Aug 14, 2019 Accepting new patients
PMR Georgia Holding, LLC PastSince Apr 1, 2021 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

145 Riverstone Ter
Ste 100
Canton, GA 30114
Phone (770) 704-9499

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

310 Kennestone Hospital Blvd
Marietta, GA 30060
Phone (770) 793-7899

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

Organizations & group practices 7

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

Hospital & facility affiliations 10

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1104950096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 KENNESTONE HOSPITAL BLVD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601120",
            "telephone_number": "770-793-7899",
            "fax_number": "770-793-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 KENNESTONE HOSPITAL BLVD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601120",
            "telephone_number": "770-793-7899",
            "fax_number": "770-793-7859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Cascade Parkway",
            "address_2": "Dept of Ambulatory Medicine",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30311",
            "country_code": "US",
            "telephone_number": "404-365-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MSIMANGA",
        "first_name": "NOKUTHULA",
        "middle_name": "NONDUMISO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "61803",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL 27322",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "61803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmsimanga70606@directwellstar.org",
            "affiliation": "N",
            "address_1": "310 Kennestone Hospital Blvd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.