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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 17 days 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.