Individual provider Active NPI

Christiana Aruck Ojongnfong, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1225683626
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN234920 Issued in GA
Practice address
2645 Whiting St NW
Atlanta, GA 30318-4563
Phone
(404) 799-9267
Fax
(404) 794-3009
NPI assigned
Aug 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN234920 GA Primary

Addresses

Primary practice location

2645 Whiting St NW
Atlanta, GA 30318-4563

Mailing address

2791 Groovers Lake PT
Lithia Springs, GA 30122-2487
Phone (404) 421-5020

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
I20191217001055 GA Practitioner - Nurse Practitioner 4183058647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Medical Consulting, P.C.Group PAC ID 3678589967, 19 clinicians

Practice addresses (Care Compare)

3715 Northside Pkwy NW
Building 2 100
Atlanta, GA 30327-2822
Phone (770) 938-1757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Sep 24, 2019 Accepting new patients

Locations

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 967-2070

1990 Lakeside Pkwy
Ste 170
Tucker, GA 30084
Phone (770) 938-1757

Organizations & group practices 2

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": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1225683626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 GROOVERS LAKE PT",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222487",
            "telephone_number": "404-421-5020",
            "fax_number": "404-794-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 WHITING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184563",
            "telephone_number": "404-799-9267",
            "fax_number": "404-794-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJONGNFONG",
        "first_name": "CHRISTIANA",
        "middle_name": "ARUCK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN234920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.