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MR. OTOBONG ISIDORE UDOUDOH NP
NPI 1902272107
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since August 11, 2015PECOS Enrolled
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-5050 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 9, 2025, Nov 16, 2015, Oct 1, 2015 (3 updates tracked since 2015).

About Mr. Otobong Isidore Udoudoh Np NPPES

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

MR. OTOBONG ISIDORE UDOUDOH NP (NPI 1902272107) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN186691) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902272107
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. OTOBONG ISIDORE UDOUDOHCredential: NP
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address5901-b Peachtree Dunwoody Rd, Ne, Ste B420Atlanta, GA 30328
Phone(404) 785-5050
Sole ProprietorNo
Enumeration DateAugust 11, 2015
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1902272107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN186691
1001 JOHNSON FY RD NE, Atlanta, GA 30342
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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)

Mr. Otobong Isidore Udoudoh Np 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 30342 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 20

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

ANDREA CENTER CPNP
Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-5437
JIAQI TRACY LI PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
KATE DANIELS
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Fulton County (404) 785-2157
JONATHAN WERNER PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
ANDREA KAYLYNE TAYLOR
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (706) 851-7597
ALEXIS BYRNE CARTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2069
MARK DOOLEY PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
LAMA FERNANDEZ PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008

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 Otobong Udoudoh's NPI number?

The NPI number for Otobong Udoudoh is 1902272107. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Otobong Udoudoh located?

Otobong Udoudoh practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-5050.

What is Otobong Udoudoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Otobong Udoudoh enrolled in Medicare?

Yes. Otobong Udoudoh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Otobong Udoudoh was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.