Individual provider Active NPI

Mboh E Elango, M.D

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1487822391
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
001398 Issued in GA
Practice address
1039 Grant St SE Ste D12
Atlanta, GA 30315-2014
Phone
(678) 736-5248
NPI assigned
Feb 13, 2008
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 001398 GA Primary

Addresses

Primary practice location

1039 Grant St SE Ste D12
Atlanta, GA 30315-2014

Mailing address

1195 Milton Ter SE Apt 2201
Atlanta, GA 30315-2428
Phone (678) 778-6983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000021 GA Practitioner - Emergency Medicine 2961575519 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Morehouse School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Columbus LLCGroup PAC ID 2668735515, 40 clinicians

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Improvement activities
40
Cost
79.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001398GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Medici Urgent Care and Wellness Center Emergency Medicine CurrentSince Aug 30, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 15, 2022 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Dec 1, 2015 Accepting new patients
Emory Specialty Associates, LLC Emergency Medicine CurrentSince Jan 6, 2023 Accepting new patients
Emerginet SRMC, LLC CurrentSince Jul 1, 2008 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Central Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1039 Grant St SE
Ste D12
Atlanta, GA 30315
Phone (678) 736-5248

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

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

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1487822391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 MILTON TER SE APT 2201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152428",
            "telephone_number": "678-778-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 GRANT ST SE STE D12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152014",
            "telephone_number": "678-736-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANGO",
        "first_name": "MBOH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2021-08-16",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "001398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.