Individual provider Active NPI

Josephine Akih Ojong Fongoh, FNP

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1982246534
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012780 Issued in NC
Practice address
7395 Millstone Cir SW
Concord, NC 28025-0005
Phone
(864) 487-0794
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012780 NC Primary

Addresses

Primary practice location

7395 Millstone Cir SW
Concord, NC 28025-0005

Mailing address

7395 Millstone Cir SW
Concord, NC 28025-0005
Phone (864) 487-0794

Other identifiers 1

IdentifierTypeStateIssuer
F09190855OtherNCAANP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330000167 NC Order and Referring Only - Nurse Practitioner 5698161735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ms_jojongf@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1982246534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 MILLSTONE CIR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250005",
            "telephone_number": "864-487-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 MILLSTONE CIR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250005",
            "telephone_number": "864-487-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJONG FONGOH",
        "first_name": "JOSEPHINE",
        "middle_name": "AKIH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F09190855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.