Active NPI
Christiana Agbonghae, MD
- Emergency Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 103186
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (404) 501-1000
- NPI assigned
- Mar 23, 2022
- Last updated
- Jun 5, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 103186 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
PO Box 32861
Charlotte, NC 28232-2861
Phone (704) 355-2000
Other practice location 1
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://atriumhealth.org/locations/detail/carolinas-medical-center | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (510) 851-7493
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1730838087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-355-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-1000"
}
],
"practiceLocations": [
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGBONGHAE",
"first_name": "CHRISTIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "103186",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://atriumhealth.org/locations/detail/carolinas-medical-center",
"affiliation": "N",
"endpointDescription": "Program Information",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Program Information",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Webpage",
"address_1": "1000 Blythe Blvd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
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- Agape Transformation Practice
- Agathe Ann Gabriel, LCSW, LLC
- Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)
- Agewell Home Health Care LLC
- Amir M. Agha, MD
- Aging Well Senior Community
- Samuel Miguel Aguayo, M.D.
- Tammy Vardeman Aguilar, RN, NNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.