Individual provider Active NPI

Nchang Taka, M.D.

  • Interventional Cardiology Physician
  • Columbus, GA
National Provider Identifier
1700147238
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
86577 Issued in GA
Practice address
2000 10TH Ave Ste 320
Columbus, GA 31901-3711
Phone
(706) 366-3850
Fax
(762) 266-1030
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 86577 GA Primary

Addresses

Primary practice location

2000 10TH Ave Ste 320
Columbus, GA 31901-3711

Mailing address

2000 10TH Ave Ste 320
Columbus, GA 31901-3711
Phone (706) 366-3850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ntaka392089@directwellstar.org

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
I20200930002529 GA Practitioner - Cardiovascular Disease (Cardiology) 3678853231 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Physician Practices LLCGroup PAC ID 8729381033, 217 clinicians

Practice addresses (Care Compare)

2000 10TH Ave
Suite 320
Columbus, GA 31901-3711
Phone (706) 366-3850

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

Hospital & facility affiliations

  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal25
Leg revascularization (restoring blood flow)88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart, Vascular and Vein Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 3, 2020 Accepting new patients
Tift Regional Health System Inc CurrentSince Mar 27, 2023 Accepting new patients
Phoebe Neurology CurrentSince Aug 3, 2020 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Mar 27, 2023 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

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

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

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

2000 10th Ave
Ste 320
Columbus, GA 31901
Phone (706) 366-3850

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

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 3

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1700147238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 320",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013711",
            "telephone_number": "706-366-3850",
            "fax_number": "762-266-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 320",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013711",
            "telephone_number": "706-366-3850",
            "fax_number": "762-266-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKA",
        "first_name": "NCHANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "86577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntaka392089@directwellstar.org",
            "affiliation": "N",
            "address_1": "1602 Vernon Rd Ste 300",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.