SUSAN NGENY
NPI 1194349704
Nurse Practitioner - Family in Acworth, GA
About Susan Ngeny NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN NGENY (NPI 1194349704) is an individual family provider in Acworth, Georgia, licensed in Georgia (RN199808) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Ngeny is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Ngeny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Ngeny's NPI number?
The NPI number for Susan Ngeny is 1194349704. It was assigned to this individual provider in the NPPES registry on May 31, 2020.
Where is Susan Ngeny located?
Susan Ngeny practices at 504 Rendezvous Rd, Acworth, GA 30102. The listed phone number is (404) 775-0110.
What is Susan Ngeny's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Ngeny enrolled in Medicare?
Yes. Susan Ngeny is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Ngeny's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ngeny reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Ngeny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Ngeny was last updated on May 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susan Ngeny · NPI 1194349704
Family physician in Acworth, Georgia. Individual provider, active in the CMS NPPES registry since May 31, 2020.
## Identity
- **NPI:** 1194349704 (Entity type: Individual)
- **Enumerated:** May 31, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN199808 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 RENDEZVOUS RD, Acworth, GA 30102-8803
- **Phone:** (404) 775-0110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Health Network LLC (NPI 1619368842, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194349704) · Data from the CMS NPPES public registry.