MEDICARE: NGOMA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225600000X	Dance Therapist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1578493433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGOMA, INC

Provider Business Mailing Address
First Line	:	6141 DEERFIELD CT
Second Line	:
City	:	MORROW
State	:	GA
Zip	:	30260-1465
Country	:	US
Telephone Number	:	404-932-2247
Fax Number	:

Provider Business Practice Location Address
First Line	:	6141 DEERFIELD CT
Second Line	:
City	:	MORROW
State	:	GA
Zip	:	30260-1465
Country	:	US
Telephone Number	:	404-932-2247
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	ASHLEY CHRISTINE ADAMS
Credential	:	OTR/L
Telephone Number	:	404-932-2247

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “NGOMA, INC ” Practice Location

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