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JUDITH FUAJONG NGULEFAC
NPI 1649787102
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment
1766 LAWRENCEVILLE HWY, DECATUR, GA 30033(470) 746-3142(404) 478-8864 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Dec 30, 2024, Jul 29, 2024 and 1 more (4 updates tracked since 2019).

About Judith Fuajong Ngulefac NPPES

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

JUDITH FUAJONG NGULEFAC (NPI 1649787102) is an individual psychiatric/mental health provider in Decatur, Georgia, licensed in Georgia (RN189589) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649787102
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUDITH FUAJONG NGULEFAC
Location Address1766 LAWRENCEVILLE HWYDecatur, GA 30033-5641
Mailing Address1766 Lawrenceville HwyDecatur, GA 30033-5641 · (470) 746-3142 · Fax (404) 478-8864
Phone(470) 746-3142
Fax(404) 478-8864
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1649787102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN189589
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN189589 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN189589 (GA)
1766 LAWRENCEVILLE HWY, Decatur, GA 30033
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11705 Williamson RdGriffin, GA 30224 · Phone (678) 603-1831
Location 29755 Dogwood RdRoswell, GA 30075-7021 · Phone (770) 992-4660

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

Judith Fuajong Ngulefac 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 ID9638523392
PECOS Enrollment IDI20230928002279
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 Judith Ngulefac reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mindbodysoul Mental Health & Family Practice LLC
Same address
Family
1766 LAWRENCEVILLE HWY
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1225776834 (470) 746-3142
Optimal Mind Psychiatry LLC
26 mi
Psychiatric/Mental Health
1505 PENNSYLVANIA AVE
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1700567906 (404) 218-8934
Glofusion LLC
40 mi
Multi-Specialty
1705 WILLIAMSON RD STE 101
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1891266466 (404) 218-8934

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 30033 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 3

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

MRS. EVELYN BOOKER RN
Nurse Practitioner (Psychiatric/Mental Health)
1766 LAWRENCEVILLE HWY
DECATUR, GA 30033
Dekalb County (470) 746-3142
MINDBODYSOUL MENTAL HEALTH & FAMILY PRACTICE LLC
Nurse Practitioner (Family)
1766 LAWRENCEVILLE HWY
DECATUR, GA 30033
Dekalb County (470) 746-3142
THOMAS JOHNSON MCKINNON III PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
1766 LAWRENCEVILLE HWY
DECATUR, GA 30033
Dekalb County (404) 748-4434

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 Judith Ngulefac's NPI number?

The NPI number for Judith Ngulefac is 1649787102. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Judith Ngulefac located?

Judith Ngulefac practices at 1766 Lawrenceville Hwy, Decatur, GA 30033. The listed phone number is (470) 746-3142.

What is Judith Ngulefac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Judith Ngulefac enrolled in Medicare?

Yes. Judith Ngulefac 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 Judith Ngulefac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Ngulefac reassigns Medicare benefits to 3 organizations: Mindbodysoul Mental Health & Family Practice LLC (Decatur, GA), Optimal Mind Psychiatry LLC (Mcdonough, GA) and Glofusion LLC (Griffin, 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 Judith Ngulefac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Ngulefac accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Judith Ngulefac 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.

When was this NPI record last updated?

The NPPES record for Judith Ngulefac was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.