Individual provider Active NPI

Azingala Ajua Fondong, MD

  • Emergency Medicine Physician
  • Greenville, TX
National Provider Identifier
1154882702
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U2199 Issued in TX
Practice address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone
(903) 408-5000
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edinburg Emergency Medicine Associates PA 74 clinicians
Northeast Texas Emergency Physicians PLLC 195 clinicians
McAllen Emergency Medicine Associates PA 79 clinicians
Oak Creek Emergency Medicine Associates PA 70 clinicians
Texas Medicine Resources, LLP 255 clinicians

Practice addresses (Care Compare)

1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone (956) 388-6000

1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 984-2492

1900 S D St
McAllen, TX 78503-1507
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504-4884
Phone (956) 213-2700

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240109001110 TX Practitioner - Family Practice 9537545587 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30382MSMDEmergency Medicine Physician
U2199TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Aug 4, 2022 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 9, 2024 Accepting new patients
Hunt Memorial Hospital District Family Medicine CurrentSince Sep 2, 2024 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 2, 2024 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Sep 29, 2023 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 22, 2025 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 2, 2025 Accepting new patients
Hunt Memorial Hospital District CurrentSince Sep 2, 2024 Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

435 W Ridge Rd
Pharr, TX 78577
Phone (956) 403-5550

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30382 MS
Family Medicine Physician 207Q00000X 30382 MS
Emergency Medicine Physician 207P00000X U2199 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X U2199 TX

Addresses

NPPES NPI Registry

Primary practice location

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Mailing address

501 Air Park Ave
Greenville, TX 75402-3000
Phone (903) 408-5834

Other practice location 1

830 S Gloster St
Tupelo, MS 38801-4934
Phone (601) 260-6486

Other practice location 2

1005 Dr D B Todd Jr. Blvd
Nashville, TN 37208
Phone (443) 821-9650

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1154882702MedicaidTN
1154882702MedicaidTX

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL EHR
Other URL EHR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2025.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1154882702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIR PARK AVE",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023000",
            "telephone_number": "903-408-5834",
            "fax_number": "903-408-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014934",
            "country_code": "US",
            "telephone_number": "601-260-6486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Dr D B Todd Jr. Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37208",
            "country_code": "US",
            "telephone_number": "443-821-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONDONG",
        "first_name": "AZINGALA",
        "middle_name": "AJUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "30382",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "30382",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U2199",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U2199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154882702",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154882702",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "830 S Gloster St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388014934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "830 S Gloster St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388014934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.