Individual provider Active NPI

Geoffrey Ngeny, MD

  • Internal Medicine Physician
  • Canton, GA
National Provider Identifier
1982699500
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055507 Issued in GA
Practice address
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone
(770) 224-1000
Fax
(770) 224-2451
NPI assigned
Sep 20, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055507 GA Primary
Hospitalist Physician 208M00000X 055507 GA

Addresses

Primary practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 831-4736

Other practice location 1

3371 Buford Hwy NE
Brookhaven, GA 30329-1709
Phone (404) 836-0230

Other identifiers 2

IdentifierTypeStateIssuer
337221873EMedicaidGA
357221873AMedicaidGA

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
I20041116000247 GA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 2365406741 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055507GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Jul 1, 2016 Accepting new patients
Jencare Neighborhood Medical Center Morrow, LLC CurrentSince Apr 17, 2023 Accepting new patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Feb 17, 2015 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Apr 17, 2023 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 1, 2012 Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine CurrentSince Oct 1, 2004 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 1, 2012 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982699500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-831-4736",
            "fax_number": "305-831-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3371 Buford Hwy NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303291709",
            "country_code": "US",
            "telephone_number": "404-836-0230",
            "fax_number": "404-836-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGENY",
        "first_name": "GEOFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055507",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "055507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337221873E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357221873A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.