KUNA TIGA FOMBUTU EPSE OKONG (MD) – Hospitalist Physician, NPI 1770014490

KUNA TIGA FOMBUTU EPSE OKONG (MD) is a healthcare provider. based in East point, Georgia. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. E13400 (AR). The NPI Number for KUNA TIGA FOMBUTU EPSE OKONG (MD) is 1770014490

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KUNA TIGA FOMBUTU EPSE OKONG (MD)
NPI
1770014490
Phone
(404) 752-1000
Address
1513 Cleveland Ave
Enumeration Date
23 March 2017
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013271325
Graduation Year
2020 (6 years ago)
PAC ID
8224303276
Group Practice PAC ID
3173428414
Professional Enrollment ID
I20200827003164
Address ID
AR720346127CO437XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,291 HOSPITALIST in GA

Provider Addresses for KUNA TIGA FOMBUTU EPSE OKONG (MD)

  • 1513 Cleveland Ave

    Building 100, Suite 300 A

    East Point, GA 303446947

    Phone: (404) 752-1000

    Type: Location

  • PO BOX 9662

    CONWAY, AR 720339662

    Phone: (501) 852-1363

    Fax: (501) 852-1364

    Type: Mailing

  • Altus Street, Conway, Faulkner County, Arkansas, 72035, United States

    CONWAY, AR 720324289

    Phone: (501) 513-5909

    Fax: (501) 513-5257

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-08-27

PECOS data refreshed: 2026-06-15

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
I20200827003164IHospitalistARTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes502211$0
99239Hospital discharge day management, more than 30 minutes171165$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes152150$0
99291Critical care, first 30-74 minutes5030$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3527$0
View full utilization report →

Insurance plans in this area (ZIP 30344)

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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: 3173428414View full group profile
NameSpecialtyState
General SurgeryWV
Internal MedicineAR
Family PracticeAR
Nurse PractitionerAR
General SurgeryAR
-AR
Family PracticeMO
Orthopedic SurgeryAR
Interventional CardiologyAR
Hand Surgery, Orthopedic SurgeryAR

Reviews

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Frequently asked questions

Is KUNA TIGA FOMBUTU EPSE OKONG (MD) listed with a National Provider Identifier?
Yes — KUNA TIGA FOMBUTU EPSE OKONG (MD) has NPI 1770014490 on file in the registry.
Is there an active status for KUNA TIGA FOMBUTU EPSE OKONG (MD)?
For scheduling context, KUNA TIGA FOMBUTU EPSE OKONG (MD) is shown as active in the registry.
What kind of doctor is KUNA TIGA FOMBUTU EPSE OKONG (MD)?
KUNA TIGA FOMBUTU EPSE OKONG (MD) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KUNA TIGA FOMBUTU EPSE OKONG (MD)?
Travel planning: use East Point, Georgia as the reference point for KUNA TIGA FOMBUTU EPSE OKONG (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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