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ADIA SHANIQUA FIELDS-UDOFIA
NPI 1356203863
Counselor - Mental Health in Stone Mountain, GA

Active since December 02, 2025PECOS Enrolled
4600 ROCKBRIDGE RD STE D, STONE MOUNTAIN, GA 30083(678) 689-8481 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adia Shaniqua Fields-udofia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADIA SHANIQUA FIELDS-UDOFIA (NPI 1356203863) is an individual mental health provider in Stone Mountain, Georgia, licensed in Georgia (014456) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356203863
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameADIA SHANIQUA FIELDS-UDOFIA
Location Address4600 ROCKBRIDGE RD STE DStone Mountain, GA 30083-7312
Mailing AddressPo Box 674122Marietta, GA 30006-0069 · (678) 689-8481
Phone(678) 689-8481
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1356203863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 014456
4600 ROCKBRIDGE RD STE D, Stone Mountain, GA 30083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adia Shaniqua Fields-udofia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991274821
PECOS Enrollment IDI20260520000663
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INSIGHT THERAPY, PC
Community/Behavioral Health
4600 ROCKBRIDGE RD STE D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 957-8149

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 Adia Fields-udofia's NPI number?

The NPI number for Adia Fields-udofia is 1356203863. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Adia Fields-udofia located?

Adia Fields-udofia practices at 4600 Rockbridge Rd Ste D, Stone Mountain, GA 30083. The listed phone number is (678) 689-8481.

What is Adia Fields-udofia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Adia Fields-udofia enrolled in Medicare?

Yes. Adia Fields-udofia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adia Fields-udofia was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.