Active NPI
Chinh C Nong, MD
- Family Medicine Physician
- Marianna, FL
National Provider Identifier
1124188073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- FLME0045126
- Practice address
- 3700 Williams Drive
Marianna, FL 32446 - Phone
- (850) 482-9222
- Fax
- (850) 718-0434
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FLME0045126 | FL | Primary |
Addresses
Primary practice location
3700 Williams Drive
Marianna, FL 32446
Mailing address
3700 Williams Drive
Marianna, FL 32446
Phone (850) 482-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0699888 00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLME0045126 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1124188073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 WILLIAMS DRIVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "32446",
"telephone_number": "850-482-9222",
"fax_number": "850-718-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WILLIAMS DRIVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "32446",
"telephone_number": "850-482-9222",
"fax_number": "850-718-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NONG",
"first_name": "CHINH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "FLME0045126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0699888 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.