Active NPI
Ndausung Udongwo, MD
- Internal Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 96914
- Practice address
- 705 Juniper St NE
Atlanta, GA 30308-1307 - Phone
- (770) 742-3883
- Fax
- (855) 597-8504
- NPI assigned
- Apr 2, 2020
- Last updated
- Dec 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 96914 | GA | Primary |
Addresses
Primary practice location
705 Juniper St NE
Atlanta, GA 30308-1307
Mailing address
483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579
Phone (770) 742-3883
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
483 Upper Riverdale Rd SW
Suite L
Riverdale, GA 30274-2579
Phone (770) 742-3883
483 Upper Riverdale Rd SW
Suite L
Riverdale, GA 30274-2584
535 Coliseum Dr
Macon, GA 31217-0104
Phone (239) 220-6601
705 Juniper St NE
Atlanta, GA 30308-1307
Phone (770) 742-3883
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group LLC | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
705 Juniper St NE
Atlanta, GA 30308
Phone (404) 873-2871
483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883
Interoperability endpoints
- nudongwo924991@direct.emory.org
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Marietta, GA
- NPI 1194235853
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1356970354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 UPPER RIVERDALE RD SW STE F",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742579",
"telephone_number": "770-742-3883",
"fax_number": "855-597-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 JUNIPER ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081307",
"telephone_number": "770-742-3883",
"fax_number": "855-597-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDONGWO",
"first_name": "NDAUSUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "96914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.