Constance Ofundem Takang, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03200096 Issued in GA

Practice address

Minuteclinic #7214
2305 Highway 34 E
Newnan, GA 30265

Phone

(678) 423-1043

NPI assigned

Jul 22, 2020

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta South Nephrology,PCGroup PAC ID 9739137795, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.27 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

85.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta South Nephrology,PC

  dba Southeast Kidney Associates

  • Legal Medicine
  • East Point, GA
  • NPI 1922145788
  Medicare reassignment Care Compare group NPD
• C&C Express Urgent Care LLC

  • Urgent Care Clinic/Center
  • Riverdale, GA
  • NPI 1942900113
  Medicare reassignment

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1316555642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MINUTECLINIC #7214",
            "address_2": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "678-423-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINUTECLINIC #7214",
            "address_2": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "678-423-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKANG",
        "first_name": "CONSTANCE",
        "middle_name": "OFUNDEM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F03200096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Swanson, LPC
• Andrea Marie Swartz, RD, LD
• Crystal Lynn Sweger, DPT
• Orren Jones Swope
• Philip G Swords, DMD
• Sallie Merle Tallent
• Angela Michelle Talley, LMT
• Ashley Tanner
• Owsley Tanner
• Tarpley Drug Company (Lee-Goodrum Pharmacy)

• Family Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.

Verify at the official NPI Registry.