Irene Gung Ho, PA-C, MBA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006861 Issued in GA

Practice address

3203 Vineville Ave Ste a
Macon, GA 31204

Phone

(478) 471-0273

Fax

(478) 471-1471

NPI assigned

Jul 8, 2013

Last updated

Jun 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Physician Assistant

State licenses

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.

• Neocare of Central Georgia, PC

  dba Family Care of Middle Georgia

  • Family Medicine Physician
  • Macon, GA
  • NPI 1053627703
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1821439811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 VINEVILLE AVE STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042323",
            "telephone_number": "478-471-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 VINEVILLE AVE STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-471-0273",
            "fax_number": "478-471-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Baland Cir",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310613921",
            "country_code": "US",
            "telephone_number": "478-471-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2938 Heritage Pl NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617209",
            "country_code": "US",
            "telephone_number": "478-471-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "IRENE",
        "middle_name": "GUNG",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2496",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177670A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy M Hines
• Jeffery C. Hinson Jr., MD.
• Benjamin Laurence Ho, M.D.
• Chen-Kung Ho, M.D., PH.D.
• Huy Ho, PHARMD
• Sarah Pittard Hobbs, NP-C
• Steven Alan Hobbs, PH.D.
• Marita Ann Hockstedler, NP
• Kristen Hodges, PT
• Pamela S Hodges, CRNA

• Medical Physician Assistant in Macon, GA
• Providers in Macon, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.