Individual provider Active NPI

Nana Cudjoe, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1073043220
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
105447 Issued in GA
Practice address
50 Hurt PLZ SE
Atlanta, GA 30303-2946
Phone
(404) 756-1440
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125070718 IL
Psychiatry Physician 2084P0800X 0101272704 VA
Psychiatry Physician 2084P0800X 105447 GA Primary

Addresses

Primary practice location

50 Hurt PLZ SE
Atlanta, GA 30303-2946

Mailing address

PO Box 19642
Springfield, IL 62794-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211012002262 VA Practitioner - Psychiatry 0840560009 Reassigns benefits to 1 organization
I20241001004191 DC Practitioner - Psychiatry 0840560009 Reassigns benefits to 1 organization
I20251114003887 GA Practitioner - Psychiatry 0840560009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Westview Dr SW
Atlanta, GA 30310-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105447GAMDPsychiatry Physician
125070718ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. Psychiatry CurrentSince Oct 1, 2025 Accepting new patients
Morehouse Medicine Inc. CurrentSince Oct 1, 2025 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 18, 2024 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Board of Trustees of Southern Illinois University Past Accepting new patients

Locations

1775 I St NW
Ste 1150
Washington, DC 20006
Phone (202) 313-7696

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1204

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5545

Interoperability endpoints

  • Direct secure messaging: nanacudjoe@siusm.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1073043220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19642",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946",
            "telephone_number": "404-756-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDJOE",
        "first_name": "NANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125070718",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101272704",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "105447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.