Individual provider Active NPI

Teneka Hosang, PA

  • Physician Assistant
  • Doraville, GA
National Provider Identifier
1356699110
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005546 Issued in GA
Practice address
2830 Clearview PL
900
Doraville, GA 30340-2134
Phone
(404) 429-5949
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005546 GA Primary

Addresses

Primary practice location

2830 Clearview PL
900
Doraville, GA 30340-2134

Mailing address

5871 Westchase St
Atlanta, GA 30336-2912
Phone (404) 398-4960

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005546GAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Manor LLC Current Accepting new patients
Professional Medical & Rehab Clinic Past Accepting new patients

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1356699110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 WESTCHASE ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362912",
            "telephone_number": "404-398-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CLEARVIEW PL",
            "address_2": "900",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402134",
            "telephone_number": "404-429-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSANG",
        "first_name": "TENEKA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.