Active NPI
Nora Tan-Ngo MD Pediatrics PC
- Pediatrics Physician
- Columbus, GA
National Provider Identifier
1417910654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 051167
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nora Tan-Ngo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000944666C | Medicaid | GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1032291 | Nora Tan Ngo MD Pediatrics PC | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Columbus, GA
- NPI 1841561370
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.