Organization Active NPI

Nora Tan-Ngo MD Pediatrics PC

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1417910654
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051167 Issued in GA
Legal business name
NORA TAN-NGO MD PEDIATRICS PC
Practice address
1200 19TH St
Columbus, GA 31901-1737
Phone
(706) 494-3820
Fax
(706) 494-3930
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Nora Tan-Ngo, MDNPI 1841561370
Title
Doctor Owner
Phone
(706) 494-3820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 051167 GA Primary

Addresses

Primary practice location

1200 19TH St
Columbus, GA 31901-1737

Mailing address

1200 19TH St
Columbus, GA 31901-1737
Phone (706) 494-3820

Other identifiers 1

IdentifierTypeStateIssuer
000944666CMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1032291Nora Tan Ngo MD Pediatrics PC1200 19TH Street, Columbus, GA 31901Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1417910654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011737",
            "telephone_number": "706-494-3820",
            "fax_number": "706-494-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011737",
            "telephone_number": "706-494-3820",
            "fax_number": "706-494-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA TAN-NGO MD PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "TAN-NGO",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "706-494-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000944666C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.