Active NPI
Ndubuisi D Ahuruonye, MD
- Neurology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD217388
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 422-2326
- Fax
- (770) 422-7797
- NPI assigned
- Apr 6, 2018
- Last updated
- Sep 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD217388 | OR | Primary |
| Neurology Physician | 2084N0400X | 336619-01 | NY | |
| Neurology Physician | 2084N0400X | 92017 | GA |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 422-2326
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nahuruonye495168@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WV, OR, WA, NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Indiana University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
1021 Park Ave
Quakertown, PA 18951-0130
1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142
1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912
3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950
310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700
801 Ostrm St
Bethlehem, PA 18015-1000
Hospital & facility affiliations
- St Lukes Hospital
- St Luke's Hospital - Grand View Campus
- St Luke's Hospital - Upper Bucks Campus
- Wellstar North Fulton Medical Center
- Cayuga Medical Center at Ithaca
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010255 | GA | MD | Ophthalmology Physician |
| 336619-01 | NY | MD | Neurology Physician |
| MD217388 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| United Physicians Care Inc | Neurology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| United Physicians Care Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2800 N Vancouver Ave
Ste 130
Portland, OR 97227
Phone (503) 276-6110
780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
Organizations & group practices 17
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
GA, OR, WA, WV
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba Legacy Medical Group Orthopedics and Sports Medicine Silverton
- Specialist
- Silverton, OR
- NPI 1093828006
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Quakertown, PA
- NPI 1669405072
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1467959494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-422-2326",
"fax_number": "770-422-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-422-2326",
"fax_number": "770-422-7797"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221059",
"country_code": "US",
"telephone_number": "404-712-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHURUONYE",
"first_name": "NDUBUISI",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-06",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD217388",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "336619-01",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "92017",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nahuruonye495168@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "677 Church St NE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.