JUDITH GRACE LUTUMBA
NPI 1093937484
Nurse Practitioner - Primary Care in Norcross, GA
About Judith Grace Lutumba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH GRACE LUTUMBA (NPI 1093937484) is an individual primary care provider in Norcross, Georgia, licensed in Georgia (RN155534) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Judith Grace Lutumba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Judith Lutumba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norcross, GA 30071
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Judith Lutumba's NPI number?
The NPI number for Judith Lutumba is 1093937484. It was assigned to this individual provider in the NPPES registry on May 3, 2007.
Where is Judith Lutumba located?
Judith Lutumba practices at 5955 Jimmy Carter Blvd, Norcross, GA 30071. The listed phone number is (770) 559-3555.
What is Judith Lutumba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Judith Lutumba enrolled in Medicare?
Yes. Judith Lutumba is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Judith Lutumba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Lutumba reassigns Medicare benefits to 2 organizations: Grupo Medico De Georgia, LLC (Norcross, GA) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Lutumba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judith Lutumba was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Judith Grace Lutumba · NPI 1093937484
Primary Care physician in Norcross, Georgia. Individual provider, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1093937484 (Entity type: Individual)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN155534 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5955 JIMMY CARTER BLVD, Norcross, GA 30071-4641
- **Phone:** (770) 559-3555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grupo Medico De Georgia, LLC (NPI 1639574890, Norcross, GA); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093937484) · Data from the CMS NPPES public registry.