Active NPI
Chen-Kung Ho, M.D., PH.D.
- Pediatrics Physician
- Macon, GA
National Provider Identifier
1285792283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 017199
- Practice address
- 3203 Vineville Ave
Macon, GA 31204-2323 - Phone
- (478) 471-0273
- Fax
- (478) 471-1471
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 017199 | GA | Primary |
Addresses
Primary practice location
3203 Vineville Ave
Macon, GA 31204-2323
Mailing address
5741 Kentucky Downs Dr
Macon, GA 31210-1207
Phone (478) 471-0273
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017199 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neocare of Central Georgia, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285792283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5741 KENTUCKY DOWNS DR",
"city": "MACON",
"state": "GA",
"postal_code": "312101207",
"telephone_number": "478-471-0273",
"fax_number": "478-471-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 VINEVILLE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312042323",
"telephone_number": "478-471-0273",
"fax_number": "478-471-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "CHEN-KUNG",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "017199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.