Judith Fuajong Ngulefac

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN189589 Issued in GA

Practice address

1766 Lawrenceville Hwy
Decatur, GA 30033-5641

Phone

(470) 746-3142

Fax

(404) 478-8864

NPI assigned

Jan 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindbodysoul Mental Health and Family Practice LLCGroup PAC ID 8729432489, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20101/brand/1/csg/1/fhir/r4

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.

• Mindbodysoul Mental Health & Family Practice LLC

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1225776834
  Medicare reassignment Care Compare group NPD Authorized official
• Glofusion LLC

  • Multi-Specialty Clinic/Center
  • Griffin, GA
  • NPI 1891266466
  Medicare reassignment NPD
• Optimal Mind Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • McDonough, GA
  • NPI 1700567906
  Medicare reassignment NPD

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1649787102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335641",
            "telephone_number": "470-746-3142",
            "fax_number": "404-478-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335641",
            "telephone_number": "470-746-3142",
            "fax_number": "404-478-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Williamson Rd",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "30224",
            "country_code": "US",
            "telephone_number": "678-603-1831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9755 Dogwood Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300757021",
            "country_code": "US",
            "telephone_number": "770-992-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGULEFAC",
        "first_name": "JUDITH",
        "middle_name": "FUAJONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN189589",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189589",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN189589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Integrated Behavioral Healthcare, Inc
• Naandria Ruth Newsom
• David Newton, LPC
• Nexus Laboratories, Inc.
• Tammy Raquel Neyland-Goines, P.T.
• Barbara Nguyen, M.D.
• Dianna Nguyen
• Hao Nguyen, PHARM.D.
• Hieu T. Nguyen, M.D.
• Janet Ang Thy Nguyen

• Psychiatric/Mental Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.