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NAOMI NAGANOMA PA-C
NPI 1497588693
Physician Assistant - Medical in Cumming, GA

Active since August 22, 2024PECOS Enrolled
2870 RONALD REAGAN BLVD STE 200, CUMMING, GA 30041(404) 994-4561 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 3, 2026, Dec 11, 2024, Aug 22, 2024 (3 updates tracked since 2024).

About Naomi Naganoma Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAOMI NAGANOMA PA-C (NPI 1497588693) is an individual medical provider in Cumming, Georgia, licensed in Georgia (12593) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1497588693
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNAOMI NAGANOMACredential: PA-C
Location Address2870 RONALD REAGAN BLVD STE 200Cumming, GA 30041-6092
Mailing Address2870 Ronald Reagan Blvd Ste 200Cumming, GA 30041-6092 · (404) 994-4561
Phone(404) 994-4561
Sole ProprietorNo
Enumeration DateAugust 22, 2024
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1497588693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 12593
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 12593 (GA)
2870 RONALD REAGAN BLVD STE 200, Cumming, GA 30041
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Secondary Practice Location 1

Location 11 Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naomi Naganoma Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH ATLANTA CARDIOLOGY PC
Internal Medicine (Cardiovascular Disease)
2870 RONALD REAGAN BLVD STE 200
CUMMING, GA 30041
Forsyth County (404) 994-4561
DR. MICKY MISHRA MD
Internal Medicine (Cardiovascular Disease)
2870 RONALD REAGAN BLVD STE 200
CUMMING, GA 30041
Forsyth County (404) 994-4561

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 Naomi Naganoma's NPI number?

The NPI number for Naomi Naganoma is 1497588693. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Naomi Naganoma located?

Naomi Naganoma practices at 2870 Ronald Reagan Blvd Ste 200, Cumming, GA 30041. The listed phone number is (404) 994-4561.

What is Naomi Naganoma's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Naomi Naganoma enrolled in Medicare?

Yes. Naomi Naganoma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Naomi Naganoma was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.