DR. EWANE NGONE (MD) – Family Medicine Physician, NPI 1770554446

DR. EWANE NGONE (MD) is a healthcare provider. based in Villa rica, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 055684 (GA). The NPI Number for DR. EWANE NGONE (MD) is 1770554446

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. EWANE NGONE (MD)
NPI
1770554446
Phone
(678) 907-2086
Address
2030 DARTMOTH WAY
Enumeration Date
30 January 2006
Last Update Date
13 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054865213
Graduation Year
1984 (42 years ago)
PAC ID
9830094853
Group Practice PAC ID
2668915471
Professional Enrollment ID
I20040406000296
Address ID
AL355657054HA42024195X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:20State licenses:4Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

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Provider Addresses for DR. EWANE NGONE (MD)

  • 2030, Dartmoth Way, Villa Rica, Douglas County, Georgia, 30180, United States

    VILLA RICA, GA 301805860

    Phone: (678) 907-2086

    Fax: (678) 840-8742

    Type: Mailing

  • 1002, Overlook Drive, Villa Rica, Douglas County, Georgia, 30180, United States

    VILLA RICA, GA 301805804

    Phone: (678) 907-2086

    Fax: (678) 840-8742

    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: 2020-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20031204000726IFamily PracticeMOTBD
I20040406000296IFamily PracticeALTBD
I20071031000623IEmergency MedicineTXTBD
I20201013002731IFamily PracticeARTBD

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
99284Emergency department visit with moderate level of medical decision making154150$0
99285Emergency department visit with high level of medical decision making144141$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2828$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 30180)

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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: 2668915471View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeAL
Internal MedicineAL
Emergency Medicine, Family Practice, Emergency MedicineAL
Family Practice, Emergency MedicineAL
Emergency Medicine, Family Practice, Emergency MedicineMS
Emergency Medicine, Family PracticeLA
Emergency MedicineAL
Internal MedicineAL
Family Practice, Emergency MedicineAL
Emergency MedicineAL

Reviews

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Frequently asked questions

Is DR. EWANE NGONE (MD) listed with a National Provider Identifier?
Yes — DR. EWANE NGONE (MD) has NPI 1770554446 on file in the registry.
Is DR. EWANE NGONE (MD) still an active registrant?
DR. EWANE NGONE (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. EWANE NGONE (MD)?
DR. EWANE NGONE (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EWANE NGONE (MD)?
Directory geography for DR. EWANE NGONE (MD) centers on Villa Rica, Georgia.
When was this NPI issued?
Enumeration for DR. EWANE NGONE (MD) is noted as January 30, 2006 where the registry provides it.