NPIMap

Individual provider Active NPI

Leo O Noragbon, MD, MBA

  • Geriatric Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1336324144
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
60014 Issued in GA
Practice address
728 Nightwind Way
Stockbridge, GA 30281-9134
Phone
(770) 310-8749
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 60014 GA Primary

Addresses

Primary practice location

728 Nightwind Way
Stockbridge, GA 30281-9134

Mailing address

728 Nightwind Way
Stockbridge, GA 30281-9134
Phone (770) 310-8749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000621 GA Practitioner - PsychiatryPractitioner - Neuropsychiatry 1355401019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Morehouse School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 778-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60014GAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Psychiatric Associates,Inc CurrentSince May 1, 2008 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Sep 11, 2013 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Sep 11, 2013 Accepting new patients
Helping Hands Community Based Services, Inc. CurrentSince Apr 3, 2011 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Psychiatric Consultative Services, L.L.C. Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Dodge County Hospital Authority Past Accepting new patients
The Medical Center of Central Georgia, Inc. Past Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

5524 Old National Hwy
Ste B
College Park, GA 30349
Phone (404) 763-8555

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

Interoperability endpoints

  • Direct secure messaging: leo.noragbon@westgahealth.gadirect.net
  • Direct secure messaging: lnoragbon433889@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1336324144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 NIGHTWIND WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819134",
            "telephone_number": "770-310-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 NIGHTWIND WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819134",
            "telephone_number": "770-310-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORAGBON",
        "first_name": "LEO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "60014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.