Gregory P Zengo, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

37738 Issued in GA

Practice address

2 S Main St
Suite 206
Watkinsville, GA 30677-7101

Phone

(706) 769-5757

Fax

(706) 769-5757

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/840/brand/1/csg/1/fhir/r4
• Direct secure messaging: gregory.zengo.1@840.direct.athenahealth.com

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.

• Georgia Women's Care, PC

  • Gynecology Physician
  • Watkinsville, GA
  • NPI 1821203902
  Medicare reassignment NPD Authorized official
• MD Aesthetic Directors, LLC

  • Health Service Clinic/Center
  • Dunwoody, GA
  • NPI 1497570345
  NPD Authorized official
• New Image Medical Aesthetic and Wellness

  • Gynecology Physician
  • Watkinsville, GA
  • NPI 1497133789
  NPD Authorized official
• Ty Cobb Healthcare System

  dba Cobb Memorial Hospital

  • Rural Acute Care Hospital
  • Royston, GA
  • NPI 1083711691
  NPD (past)
• Ty Cobb Healthcare System, Inc

  dba Carnesville Family Practice

  • Specialist
  • Carnesville, GA
  • NPI 1245533132
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1982793154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777101",
            "telephone_number": "706-769-5757",
            "fax_number": "706-769-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777101",
            "telephone_number": "706-769-5757",
            "fax_number": "706-769-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENGO",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "37738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shereen Xavier, FNP-C
• Kayla Yarbrough, NP
• Alvin Fred Young, MD
• Everett Glenn Young, MD
• Charles F Zanone IV, PHD
• Fengkan Zhu
• Keith W Zimmerman, MD

• Gynecology Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.