NDAUSUNG UDONGWO MD
NPI 1356970354
Internal Medicine in Atlanta, GA

Q: 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.

Q: What is Ndausung Udongwo's specialty?

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

Q: 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 7 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

Hospital Affiliations CMS Care Compare

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

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