Active NPI
Nicole Fobi Nunga, M.D.
- Hospitalist Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 61580
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- Fax
- (770) 538-7872
- NPI assigned
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 61580 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 001640 | GA |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone (770) 434-0710
Other practice location 1
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone (770) 434-0710 ext. 2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12451 E 100TH St N
Owasso, OK 74055-4600
Phone (918) 274-5000
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
- Interim Healthcare of Atlanta Inc
- Grady Memorial Hospital
- St John Owasso
- Upson Regional Medical Center
- Ascension St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001640 | GA | MD | Internal Medicine Physician |
| 061584 | GA | MD | Pediatrics Physician |
| 61580 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Upson County Hospital Inc | Past | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Hospitalist Physician
- Thomaston, GA
- NPI 1164371415
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- Home Health Agency
- Atlanta, GA
- NPI 1952337214
-
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1457523508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806342",
"telephone_number": "770-434-0710",
"fax_number": "770-801-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000",
"fax_number": "770-538-7872"
}
],
"practiceLocations": [
{
"address_1": "3949 S Cobb Dr SE",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806342",
"country_code": "US",
"telephone_number": "770-434-0710 x2237",
"fax_number": "770-801-5286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOBI NUNGA",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "61580",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "001640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.