Individual provider Active NPI

Claudio Sergio Bondulich, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1093757353
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058730 Issued in GA
Practice address
3400 Old Milton Pkwy Ste 130
Alpharetta, GA 30005-3707
Phone
(770) 664-8898
Fax
(770) 772-4377
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23774 SC
Family Medicine Physician 207Q00000X 058730 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste 130
Alpharetta, GA 30005-3707

Mailing address

PO Box 934915
Atlanta, GA 31193-4915
Phone (404) 501-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000115 GA Practitioner - Family Practice 5294728812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Perimeter Professional Services, LLCGroup PAC ID 9032337423, 21 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

3400 Old Milton Pkwy
A130
Alpharetta, GA 30005-4417
Phone (770) 664-8898

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058730GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Professional Services, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Perimeter North Family Practice LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Aug 27, 2022 Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005
Phone (770) 664-8898

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144

2675 N Decatur Rd
Ste 601
Decatur, GA 30033
Phone (404) 501-2900

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

Interoperability endpoints

  • Direct secure messaging: cbondulich20128@direct.emory.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1093757353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934915",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934915",
            "telephone_number": "404-501-7969",
            "fax_number": "404-501-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDULICH",
        "first_name": "CLAUDIO",
        "middle_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23774",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.