Individual provider Active NPI

Corazon Ngo, MD

  • Internal Medicine Physician
  • Kenansville, NC
National Provider Identifier
1740264084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18546 Issued in NC
Practice address
214 Duplin St
Kenansville, NC 28349-9024
Phone
(910) 296-1811
Fax
(910) 296-0862
NPI assigned
Nov 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18546 NC Primary

Addresses

Primary practice location

214 Duplin St
Kenansville, NC 28349-9024

Mailing address

214 Duplin St
Kenansville, NC 28349-9024
Phone (910) 296-1811

Other identifiers 1

IdentifierTypeStateIssuer
8962477MedicaidNC

Other names 1

  • Corazon Ngo Simpson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100312000346 NC Practitioner - Internal Medicine 7810022191 Reassigns benefits to 1 organization
Practice locations: Kenansville, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 Duplin St
Kenansville, NC 28349-9024
Phone (910) 296-1811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18546NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jul 21, 2022 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center, Incorporated CurrentSince Jul 21, 2022 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

214 Duplin St
Kenansville, NC 28349
Phone (910) 296-1811

Interoperability endpoints

  • Direct secure messaging: cngo@goshenmedical.cloudcraftdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740264084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DUPLIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499024",
            "telephone_number": "910-296-1811",
            "fax_number": "910-296-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 DUPLIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499024",
            "telephone_number": "910-296-1811",
            "fax_number": "910-296-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "CORAZON",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "18546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962477",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "NGO SIMPSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

Verify at the official NPI Registry.