Individual provider Active NPI

Nora G Tan-Ngo, M.D.

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1841561370
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
51167 Issued in GA
Practice address
1200 19TH St
Columbus, GA 31901-1737
Phone
(706) 494-3820
Fax
(706) 494-3930
NPI assigned
Jan 13, 2012
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51167 GA Primary

Addresses

Primary practice location

1200 19TH St
Columbus, GA 31901-1737

Mailing address

1200 19TH St
Columbus, GA 31901-1737
Phone (706) 494-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51167GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Tan-Ngo MD Pediatrics PC Pediatrics Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients
South Georgia Pediatric and Allergy Center Pediatrics PastSince Jul 1, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1841561370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011737",
            "telephone_number": "706-494-3820",
            "fax_number": "706-494-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011737",
            "telephone_number": "706-494-3820",
            "fax_number": "706-494-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-NGO",
        "first_name": "NORA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "51167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.