Tom Noga MD Mental Health for Life PC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

TOM NOGA MD MENTAL HEALTH FOR LIFE PC

Practice address

4574 US Highway 29
Ste 101
Lilburn, GA 30047-3605

Phone

(770) 564-0300

Fax

(770) 564-0307

NPI assigned

Dec 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Tom Noga, MD MBA

Title

Owner Operator

Phone

(404) 644-5674

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699750042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 US HIGHWAY 29",
            "address_2": "STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473605",
            "telephone_number": "770-564-0300",
            "fax_number": "770-564-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 US HIGHWAY 29",
            "address_2": "STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473605",
            "telephone_number": "770-564-0300",
            "fax_number": "770-564-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM NOGA MD MENTAL HEALTH FOR LIFE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NOGA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "404-644-5674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00664518A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.