Organization Active NPI

Heart of Rapha LLC

  • Pediatric Cardiology Physician
  • Stockbridge, GA
National Provider Identifier
1881570992
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
HEART OF RAPHA LLC
Practice address
125 Eagles Walk Ste 150
Stockbridge, GA 30281-7207
Phone
(470) 507-0029
Fax
(470) 507-0030
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. Anne Aurelie Ngo Tedga Moche, MDNPI 1922453695
Title
Owner
Phone
(470) 507-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

125 Eagles Walk Ste 150
Stockbridge, GA 30281-7207

Mailing address

2831 Lake Jodeco Rd
Jonesboro, GA 30236-5335

Other names 1

  • Children's Heart of Rapha Pediatric Cardiology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1881570992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LAKE JODECO RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLES WALK STE 150",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817207",
            "telephone_number": "470-507-0029",
            "fax_number": "470-507-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF RAPHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "NGO TEDGA MOCHE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "AURELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-507-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Heart of Rapha Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Heart of Rapha Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.