DR. PHUONG N TO D.O.
NPI 1255538823
Pediatrics in Augusta, GA
About Dr. Phuong N To D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHUONG N TO D.O. (NPI 1255538823) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (002377) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
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)
Dr. Phuong N To D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Phuong To reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Phuong To's NPI number?
The NPI number for Phuong To is 1255538823. It was assigned to this individual provider in the NPPES registry on June 28, 2007.
Where is Phuong To located?
Phuong To practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3052.
What is Phuong To's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Phuong To enrolled in Medicare?
Yes. Phuong To is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Phuong To's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phuong To reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Phuong To'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 Phuong To was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Phuong N To, D.O. · NPI 1255538823
Pediatrics physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since June 28, 2007.
## Identity
- **NPI:** 1255538823 (Entity type: Individual)
- **Enumerated:** June 28, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 002377 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 721-3052
## 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:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255538823) · Data from the CMS NPPES public registry.