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NDAUSUNG UDONGWO MD
NPI 1356970354
Internal Medicine in Atlanta, GA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
705 JUNIPER ST NE, ATLANTA, GA 30308(770) 742-3883(855) 597-8504 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2025, Sep 19, 2024, Apr 2, 2020 (3 updates tracked since 2020).

About Ndausung Udongwo Md NPPES

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

NDAUSUNG UDONGWO MD (NPI 1356970354) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (96914) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356970354
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNDAUSUNG UDONGWOCredential: MD
Location Address705 JUNIPER ST NEAtlanta, GA 30308-1307
Mailing Address483 Upper Riverdale Rd Sw Ste FRiverdale, GA 30274-2579 · (770) 742-3883 · Fax (855) 597-8504
Phone(770) 742-3883
Fax(855) 597-8504
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2020
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1356970354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 96914
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
705 JUNIPER ST NE, Atlanta, GA 30308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ndausung Udongwo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577098961
PECOS Enrollment IDI20241121003577
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ndausung Udongwo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morehouse Healthcare, Inc.
2.8 mi
Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
NPI 1801832324 (404) 752-1000
Covenant Medical Group LLC
19 mi
Pulmonary Disease
3605 SANDY PLAINS RD STE 240-235
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1194235853 (770) 990-8212
Emory Specialty Associates, LLC
63 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

SELECT SPECIALTY HOSPITAL - MIDTOWN ATLANTA, LLC
Hospitalist
705 JUNIPER ST NE, NE
ATLANTA, GA 30308
Fulton County (717) 972-1100
SELECT SPECIALTY HOSPITAL MIDTOWN ATLANTA LLC
Long Term Care Hospital
705 JUNIPER ST NE, NE
ATLANTA, GA 30308
Fulton County (404) 873-2871
NEGIST SISAY TILAHUN
Registered Nurse
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (404) 873-2871
ELMWOOD PARK ANESTHESIA CONSULTANTS
Anesthesiology (Critical Care Medicine)
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (404) 873-2871
ABBY LYNN MOHLER
Occupational Therapist
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (404) 873-2871
MS. SARA LONDONO BETANCOURT RN
Registered Nurse (Critical Care Medicine)
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (404) 873-2871
KEVIN PATRICK FEALY III
Nurse's Aide
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (786) 521-2198
WILLIE E LANDRUM II MD PC
Internal Medicine
705 JUNIPER ST NE
ATLANTA, GA 30308
Fulton County (678) 542-7256

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 Ndausung Udongwo's NPI number?

The NPI number for Ndausung Udongwo is 1356970354. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Ndausung Udongwo located?

Ndausung Udongwo practices at 705 Juniper St NE, Atlanta, GA 30308. The listed phone number is (770) 742-3883.

What is Ndausung Udongwo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ndausung Udongwo enrolled in Medicare?

Yes. Ndausung Udongwo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ndausung Udongwo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ndausung Udongwo reassigns Medicare benefits to 3 organizations: Morehouse Healthcare, Inc. (Atlanta, GA), Covenant Medical Group LLC (Marietta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). 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 Ndausung Udongwo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ndausung Udongwo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ndausung Udongwo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ndausung Udongwo affiliated with any hospitals?

According to CMS data, Ndausung Udongwo is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Ndausung Udongwo was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.