Active NPI
Lokhana Kong
- Family Nurse Practitioner
- McDonough, GA
National Provider Identifier
1174041404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN207256
- Practice address
- 50 Kelly Rd
McDonough, GA 30253-6097 - Phone
- (770) 957-1887
- Fax
- (770) 957-6864
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | RN207256 | GA | Primary |
Addresses
Primary practice location
50 Kelly Rd
McDonough, GA 30253-6097
Mailing address
50 Kelly Rd
McDonough, GA 30253-6097
Phone (770) 957-1887
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207256 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- lokhana.kong.1@8042.direct.athenahealth.com
Organizations & group practices 6
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.
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- NPI 1013313857
-
- Internal Medicine Physician
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- NPI 1356907273
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174041404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 KELLY RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536097",
"telephone_number": "770-957-1887",
"fax_number": "770-957-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 KELLY RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536097",
"telephone_number": "770-957-1887",
"fax_number": "770-957-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "LOKHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN207256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.