Individual provider Active NPI

Anne Aurelie Ngo Tedga Moche, M.D.

  • Pediatric Cardiology Physician
  • Stockbridge, GA
National Provider Identifier
1922453695
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
97043 Issued in GA
Practice address
125 Eagles Walk Ste 150
Stockbridge, GA 30281-7207
Phone
(470) 507-0029
Fax
(470) 507-0030
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 97043 GA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Cardiology Physician 2080P0202X 97043 GA Primary

Addresses

Primary practice location

125 Eagles Walk Ste 150
Stockbridge, GA 30281-7207

Mailing address

2831 Lake Jodeco Rd
Jonesboro, GA 30236-5335
Phone (240) 329-8974

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210002372 GA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 3173053915

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Rapha LLC Pediatric Cardiology CurrentSince Aug 17, 2025 Accepting new patients

Locations

125 Eagles Walk
Ste 150
Stockbridge, GA 30281
Phone (470) 507-0029

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACAED/Endpoint/EACAED

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1922453695",
    "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",
            "telephone_number": "240-329-8974"
        },
        {
            "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": {
        "last_name": "NGO TEDGA MOCHE",
        "first_name": "ANNE",
        "middle_name": "AURELIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "97043",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "97043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.