NPIMap

Individual provider Active NPI

Madhurima Adulla, M.D

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1073523247
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
57035 Issued in GA
Practice address
665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Phone
(678) 312-0450
Fax
(770) 339-2135
NPI assigned
Aug 9, 2006
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45830-020 WI
Internal Medicine Physician 207R00000X 057035 GA
Nephrology Physician 207RN0300X 57035 GA Primary

Addresses

Primary practice location

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303

Mailing address

665 Duluth Hwy Ste 801
Lawrenceville, GA 30046-8709
Phone (470) 325-0148

Other practice location 1

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madhurima.adulla.d1.p2@direct.gmg.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000292 GA Practitioner - Nephrology 6002820743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Wisconsin School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

3500 McClure Bridge Rd
Duluth, GA 30096-3131
Phone (770) 476-3636

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
71.9
Promoting interoperability
75
Improvement activities
40
Cost
76.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45830-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 18, 2025 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Northeast Georgia Diagnostic Associates and Clinic, LLC CurrentSince Jan 1, 2024 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jul 25, 2017 Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Current Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 18, 2025 Accepting new patients
Northside Hospital, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Northside Hospital, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Northeast Georgia Diagnostic Clinic LLC Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

3500 McClure Bridge Rd
Duluth, GA 30096
Phone (770) 476-3636

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (770) 532-0800

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

665 Duluth Hwy
Ste 401
Lawrenceville, GA 30046
Phone (678) 312-0450

665 Duluth Hwy
Ste 501
Lawrenceville, GA 30046
Phone (678) 312-0400

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Interoperability endpoints

  • Direct secure messaging: madhurimaadulla@negaidx.allscriptsdirect.net

Organizations & group practices 11

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1073523247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY STE 801",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468709",
            "telephone_number": "470-325-0148",
            "fax_number": "770-339-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY STE 401",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464303",
            "telephone_number": "678-312-0450",
            "fax_number": "770-339-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Northside Forsyth Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417659",
            "country_code": "US",
            "telephone_number": "770-844-3200",
            "fax_number": "770-844-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADULLA",
        "first_name": "MADHURIMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45830-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057035",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "57035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madhurima.adulla.d1.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "665 Duluth Hwy Ste 401",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300464303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.