Individual provider Active NPI

Thao Ngo, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1558254573
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13263 Issued in GA
Practice address
3286 Northside Pkwy NW Ste 1000
Atlanta, GA 30327-2294
Phone
(404) 841-8450
NPI assigned
May 29, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 13263 GA Primary

Addresses

Primary practice location

3286 Northside Pkwy NW Ste 1000
Atlanta, GA 30327-2294

Mailing address

3286 Northside Pkwy NW Ste 1000
Atlanta, GA 30327-2294
Phone (404) 841-8450

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13263GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Center CurrentSince Jun 3, 2025 Accepting new patients
Peachtree Plastic Surgery CurrentSince Jun 3, 2025 Accepting new patients

Locations

3131 Maple Dr NE
Atlanta, GA 30305
Phone (404) 841-8450

3286 Northside Pkwy NW
Ste 1000
Atlanta, GA 30327
Phone (404) 841-8450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1558254573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 NORTHSIDE PKWY NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272294",
            "telephone_number": "404-841-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 NORTHSIDE PKWY NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272294",
            "telephone_number": "404-841-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "THAO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.