DR. NCHANG TAKA (M.D.) – Interventional Cardiology Physician, NPI 1700147238

DR. NCHANG TAKA (M.D.) is a healthcare provider. based in Lagrange, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 86577 (GA). The NPI Number for DR. NCHANG TAKA (M.D.) is 1700147238

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. NCHANG TAKA (M.D.)
NPI
1700147238
Phone
(706) 882-1411
Address
1514 VERNON RD
Enumeration Date
31 May 2012
Last Update Date
9 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063202773
Graduation Year
2008 (18 years ago)
PAC ID
3678853231
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20200930002529
Address ID
GA319046878CO2122XEXPY300

Contacts

Secure Messaging
ntaka392089@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

Provider Addresses for DR. NCHANG TAKA (M.D.)

  • 1514 VERNON RD

    LAGRANGE, GA 302404131

    Phone: (706) 882-1411

    Type: Location

  • 720 WESTVIEW DRIVE

    GME

    ATLANTA, GA 303101495

    Phone: (404) 756-1387

    Type: Mailing

  • 2000 10TH AVE STE 320

    COLUMBUS, GA 319013711

    Phone: (706) 366-3850

    Fax: (762) 266-1030

    Type: Mailing

  • 1602 VERNON RD STE 300

    LAGRANGE, GA 302404129

    Phone: (706) 242-5150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $544.

Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ShockWave Medical, Inc ($169).

Total Amount

$544

General + Research + Ownership

Payments

25

Total payment records

General Amount

$544

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200930002529ICardiovascular Disease (Cardiology)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3010Injection, fentanyl citrate, 0.1 mg64117$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes23325$0
99214Established patient office or other outpatient visit, 30-39 minutes10843$0
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel8223$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes4628$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Physician AssistantGA
Diagnostic RadiologyNY
N E U R O L O G YGA
-GA
P S Y C H I A T R YGA
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NCHANG TAKA (M.D.)?
DR. NCHANG TAKA (M.D.) — NPI 1700147238 — is the standard way to identify this listing.
Can I rely on DR. NCHANG TAKA (M.D.) being an active provider?
As of the registry snapshot, DR. NCHANG TAKA (M.D.) is marked active.
What healthcare role does DR. NCHANG TAKA (M.D.) hold?
Scheduling teams often label DR. NCHANG TAKA (M.D.) under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. NCHANG TAKA (M.D.) serve?
DR. NCHANG TAKA (M.D.)'s listing highlights Lagrange, Georgia; more addresses can appear in NPPES.
Why does DR. NCHANG TAKA (M.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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