Individual provider Active NPI

Irene Nchuinang Ngonga

  • Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1194487256
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN288245 Issued in GA
Practice address
124 Tuscany CT
McDonough, GA 30252-4089
Phone
(678) 630-4536
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN288245 GA Primary

Addresses

Primary practice location

124 Tuscany CT
McDonough, GA 30252-4089

Mailing address

632 Armitage Way
Stockbridge, GA 30281

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irene.ngonga.1@29601.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000702 GA Practitioner - Nurse Practitioner 8325533755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care Ga PCGroup PAC ID 3274939061, 56 clinicians

Practice addresses (Care Compare)

6085 Old National Hwy
Suite G
South Fulton, GA 30349-4333
Phone (470) 754-6360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN288245GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ga PC CurrentSince Dec 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Dec 15, 2025 Accepting new patients
Kaylee'S in Home Care Services PastSince Oct 10, 2021 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: irene.ngonga.1@29601.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1194487256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ARMITAGE WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TUSCANY CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524089",
            "telephone_number": "678-630-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGONGA",
        "first_name": "IRENE",
        "middle_name": "NCHUINANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN288245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.ngonga.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6085 Old National Hwy Ste G",
            "city": "South Fulton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303494333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.