Healthcare Provider Details

I. General information

NPI: 1578493433
Provider Name (Legal Business Name): NGOMA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6141 DEERFIELD CT
MORROW GA
30260-1465
US

IV. Provider business mailing address

6141 DEERFIELD CT
MORROW GA
30260-1465
US

V. Phone/Fax

Practice location:
  • Phone: 404-932-2247
  • Fax:
Mailing address:
  • Phone: 404-932-2247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CHRISTINE ADAMS
Title or Position: CHIEF OPERATING OFFICER
Credential: OTR/L
Phone: 404-932-2247