NICHOLAS KONGOASA MD, FACOG – NPI #1376895946
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

NICHOLAS KONGOASA is a physician located in NORCROSS, GA. NPPES has assigned the NPI number 1376895946 to NICHOLAS KONGOASA on October 08, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 3 years ago on Aug 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS KONGOASA below.

NPI Profile for
NICHOLAS KONGOASA

NPI Number
1376895946
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS KONGOASA
Credentials
MD, FACOG
Primary location
3965 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA 30092-2203
Phone: (770) 450-8677 Fax: (678) 792-8927
Mailing address
3957 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA 30092-5244
Phone: (770) 450-8677 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
GA 68445
207V00000X
- Obstetrics & Gynecology
GA 68445

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.