Active NPI
Feng-Ming Phoenix Kong, MD
- Radiation Oncology Physician
- Augusta, GA
National Provider Identifier
1699867093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 070150
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 724-6100
- Fax
- (706) 724-1600
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4301082609 | MI | |
| Radiation Oncology Physician | 2085R0001X | 070150 | GA | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
1499 Walton Way
Suite 1400
Augusta, GA 30901-2603
Phone (706) 724-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I922014 | Other | GA | PTAN |
Other names 1
- Feng-Ming Phoenix Kong
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070150 | GA | MD | Radiation Oncology Physician |
| 4301082609 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology Alliance | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- feng-mingkong@uhhs.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Radiation Oncology Physician
- Lansing, MI
- NPI 1477587061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1699867093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 WALTON WAY",
"address_2": "SUITE 1400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012603",
"telephone_number": "706-724-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-724-6100",
"fax_number": "706-724-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "FENG-MING",
"middle_name": "PHOENIX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301082609",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "070150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "202I922014",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FENG-MING",
"last_name": "KONG",
"middle_name": "PHOENIX",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.