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EBENEZER ADEBOYE DAWODU MD
NPI 1962990648
Internal Medicine - Nephrology in Lawrenceville, GA

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment
601A PROFESSIONAL DRIVE, SUITE 235, LAWRENCEVILLE, GA 30046(470) 292-3957(470) 292-3683 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, Jun 27, 2024, Apr 27, 2018 (3 updates tracked since 2018).

About Ebenezer Adeboye Dawodu Md NPPES

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

EBENEZER ADEBOYE DAWODU MD (NPI 1962990648) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Georgia (100910) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1962990648
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameEBENEZER ADEBOYE DAWODUCredential: MD
Location Address601A PROFESSIONAL DRIVE, SUITE 235Lawrenceville, GA 30046
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 714-7171 · Fax (815) 435-5080
Phone(470) 292-3957
Fax(470) 292-3683
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 27, 2018
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1962990648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 100910
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 100910 (GA)
601A PROFESSIONAL DRIVE, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Location 1

Location 13980 Rogers Bridge RdDuluth, GA 30097-2214 · Phone (470) 292-3957 · Fax (470) 292-3683

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

Ebenezer Adeboye Dawodu 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 ID2668906181
PECOS Enrollment IDI20241106002702
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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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 5

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

ERNEST EBUN COKER MD
Internal Medicine
601A PROFESSIONAL DRIVE, SUITE 180
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-4120
ATLANTA AREA ORTHOPEDIC & IMAGING, LLC
Orthopaedic Surgery
601A PROFESSIONAL DRIVE, STE. 130
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 551-7800
MELIA ANN STEPHENS CPNP
Nurse Practitioner (Primary Care)
601A PROFESSIONAL DRIVE, SUITE 370
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0823
RAMANA MAREPALLY REDDY MD
Orthopaedic Surgery
601A PROFESSIONAL DRIVE, STE. 130
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 551-7800
FRANKLIN D DIAZ, M.D., P.C.
Clinic/Center (Medical Specialty)
601A PROFESSIONAL DRIVE, SUITE 225
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 513-8028

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 Ebenezer Dawodu's NPI number?

The NPI number for Ebenezer Dawodu is 1962990648. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Ebenezer Dawodu located?

Ebenezer Dawodu practices at 601A Professional Drive Suite 235, Lawrenceville, GA 30046. The listed phone number is (470) 292-3957.

What is Ebenezer Dawodu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ebenezer Dawodu enrolled in Medicare?

Yes. Ebenezer Dawodu 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.

What insurance does Ebenezer Dawodu accept?

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

Is Ebenezer Dawodu affiliated with any hospitals?

According to CMS data, Ebenezer Dawodu is affiliated with Northside Hospital Gwinnett, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Ebenezer Dawodu was last updated on February 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.