Individual provider Active NPI

Victor Tabi Enoh, MD

  • Anesthesiology Physician
  • Macon, GA
National Provider Identifier
1689966772
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
076097 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-2147
Fax
(478) 742-9670
NPI assigned
May 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 390200000 TX
Anesthesiology Physician 207L00000X 076097 GA Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180821003418 GA Practitioner - Anesthesiology 2466701651 Reassigns benefits to 3 organizations
I20220222001792 TX Practitioner - Anesthesiology 2466701651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians

Practice addresses (Care Compare)

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (956) 523-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Hill Regional Physician Group, Inc. Anesthesiology CurrentSince Mar 16, 2024 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince May 20, 2018 Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Sep 4, 2021 Accepting new patients
Anesthesia Consultants of Savannah, PC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Georgia Group Services, LLC Anesthesiology Current Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 16, 2024 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Anesthesiology Past Accepting new patients

Locations

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

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

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

230 Calle del Norte
Laredo, TX 78041
Phone (956) 693-5000

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000

Interoperability endpoints

  • Direct secure messaging: venoh1286116@direct.sw.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1689966772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-2147",
            "fax_number": "478-742-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOH",
        "first_name": "VICTOR",
        "middle_name": "TABI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "390200000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "076097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.