KENG MOUA
NPI 1952036857
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Keng Moua's NPI number?

The NPI number for Keng Moua is 1952036857. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Q: What is Keng Moua's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Keng Moua was last updated on July 24, 2022. 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.

Active since July 24, 2022PECOS Enrolled

201 DOWMAN DR NE, ATLANTA, GA 30322(404) 727-6123 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Keng Moua NPPES

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

KENG MOUA (NPI 1952036857) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952036857

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENG MOUA

Location Address201 DOWMAN DR NEAtlanta, GA 30322-1007

Mailing Address146 S 92nd St Apt 5Milwaukee, WI 53214-1247 · (678) 908-9985

Phone(404) 727-6123

Sole ProprietorNo

Enumeration DateJuly 24, 2022

NPPES CertifiedJuly 14, 2022

✔ NPI 1952036857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

201 DOWMAN DR NE, Atlanta, GA 30322

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keng Moua 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 20

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

NAM NGUYEN

Student in an Organized Health Care Education/Training Program