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DANA NOEL RUDISILL
NPI 1457079709
Nurse Practitioner - Gerontology in Atlanta, GA

Active since August 22, 2022PECOS Enrolled
95 COLLIER RD NW STE 4075, ATLANTA, GA 30309(404) 355-3200 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Aug 22, 2022 (2 updates tracked since 2022).

About Dana Noel Rudisill NPPES

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

DANA NOEL RUDISILL (NPI 1457079709) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (NP311059) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457079709
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDANA NOEL RUDISILL
Location Address95 COLLIER RD NW STE 4075Atlanta, GA 30309-1751
Mailing Address199 14th St Ne Apt 2109Atlanta, GA 30309-3690
Phone(404) 355-3200
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1457079709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · NP311059
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN311059 (GA)
95 COLLIER RD NW STE 4075, Atlanta, GA 30309
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Noel Rudisill is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Dana Rudisill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
4.6 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
City Of Hope Medical Group Of Georgia LLC
36 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333

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 30309 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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

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

MAREDITH CLOSE NASRALLAH FNP-C
Nurse Practitioner (Family)
95 COLLIER RD NW STE 4075
ATLANTA, GA 30309
Fulton County (404) 355-3200

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 Dana Rudisill's NPI number?

The NPI number for Dana Rudisill is 1457079709. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Dana Rudisill located?

Dana Rudisill practices at 95 Collier Rd NW Ste 4075, Atlanta, GA 30309. The listed phone number is (404) 355-3200.

What is Dana Rudisill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dana Rudisill enrolled in Medicare?

Yes. Dana Rudisill is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dana Rudisill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Rudisill reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, 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 Dana Rudisill'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 Dana Rudisill was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.