MR. PHILIP YOUNG KONG (NPI# 1205489929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205489929 |
Entity Type | Individual |
Full Name | MR. PHILIP YOUNG KONG |
Credential | FNP-C |
Practice Address |
127 Telfair St Augusta GA 30901-2590 |
Mailing Address |
Po Box 2344 Augusta GA 30903-2344 |
Practice Telephone | 7069220600 |
Practice Fax Number | 7063961461 |
Mailing Telephone | 7069220600 |
Mailing Fax Number | 8556349302 |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-08-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN237419 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043789753 | Philip Ling-fat Kong | Pharmacist | 10945 Victory Blvd, North Hollywood, CA 91606-3717 | 2018-11-26 |
1891243671 | Philip Wah Kong | Pharmacist | 5th Street & Western, Norco, CA 92860-0991 | 2016-09-21 |
1063854347 | Philip Kong | Pharmacist | 521 Parnassus Ave, Room C-152, Box 0622, San Francisco, CA 94143 | 2013-07-26 |
Street Address |
127 TELFAIR ST |
City | AUGUSTA |
State | GA |
Zip Code | 30901-2590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225088941 | Katherine Ann Driver | Nurse Practitioner | 127 Telfair St, Augusta, GA 30901-2590 | 2006-05-11 |
1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
1952871006 | Sanford Dale White | Social Worker | 127 Telfair St, Augusta, GA 30901-2590 | 2018-12-03 |
1487055091 | Benjamin Kilpatrick | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2014-09-15 |
1396150256 | Chadwick Brantley | Dentist | 127 Telfair St, Augusta, GA 30901-2590 | 2014-06-29 |
1043568264 | Christ Community Health Services Augusta, Inc | Clinic/Center | 127 Telfair St, Augusta, GA 30901-2590 | 2012-08-20 |
1033408232 | Patrick Mcmillan Kelly | Internal Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2011-03-29 |
1598084717 | Jonathan A Davis | Internal Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2010-05-27 |
1306006432 | Karissa King Wilson | Family Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2008-06-12 |
1285894352 | Jeremiah J Wilson | Family Medicine | 127 Telfair St, Augusta, GA 30901-2590 | 2008-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
Find all providers in zip 30901 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
Find all providers in AUGUSTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.