Atemkeng Fomengia

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA031273 Issued in DC

Practice address

724 Maiden Choice LN Ste 304
Catonsville, MD 21228-0003

Phone

(202) 719-2530

NPI assigned

Aug 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jad Wound Care, LLCGroup PAC ID 7719351501, 4 clinicians

Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ac Woundcare LLC

  • Medical Physician Assistant
  • Catonsville, MD
  • NPI 1003782137
  Medicare reassignment NPD Authorized official
• Jad Wound Care, LLC

  • Adult Health Nurse Practitioner
  • Columbia, MD
  • NPI 1891440566
  Medicare reassignment Care Compare group
• Maryland Medical First P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1013005016
  Medicare reassignment Care Compare group
• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115
  Medicare reassignment
• Woundworx LLC

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1437945326

  DC

  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1073914396
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  DC, MD

  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Silver Spring, MD
  • NPI 1851286041
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1700332996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN STE 304",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212280003",
            "telephone_number": "202-719-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361728",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200600001",
            "country_code": "US",
            "telephone_number": "202-865-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOMENGIA",
        "first_name": "ATEMKENG",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA031273",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Flanagan, LCSW-C
• Kimberly Flash, LCSW
• Susan Fleischer Jackson, LCSW-C
• Karen Samantha Flowers, LPTA
• Grover C Foehlinger Jr., PH.D.
• Amy Ford, LGPC
• Terri Foreman
• Forest Haven Nursing and Rehabilitation Center LLC
• Forest Haven, Inc.
• Seyed Hootan Forghani Saeidabadi, M.D.

• Medical Physician Assistant in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.