Individual provider Active NPI

Audrey C Dudzik, MD

  • Surgery Physician
  • Covington, GA
National Provider Identifier
1669715728
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
74341 Issued in GA
Practice address
4181 Hospital Dr NE Ste 303
Covington, GA 30014-2541
Phone
(678) 471-0128
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 042-0014052 VT
Surgery Physician 208600000X 74341 GA Primary

Addresses

Primary practice location

4181 Hospital Dr NE Ste 303
Covington, GA 30014-2541

Mailing address

4181 Hospital Dr NE Ste 303
Covington, GA 30014-2541

Other practice location 1

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Other practice location 2

6 Commons St
Rutland, VT 05701
Phone (802) 775-1903

Other practice location 3

130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 225-7075

Other names 1

  • Dr. Audrey C. Butcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180927000165 VT Practitioner - General Surgery 4183927916 Reassigns benefits to 2 organizations
I20241118003086 GA Practitioner - General Surgery 4183927916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

4181 Hospital Dr NE
Covington, GA 30014-2541

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (678) 342-8674

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74341GAMDSurgery Physician
042-0014052VTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital Current Accepting new patients
Springfield Hospital .Inc CurrentSince Dec 1, 2023 Accepting new patients
Central Vermont Medical Center Inc Surgery CurrentSince May 3, 2022 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

4181 Hospital Dr NE
Ste 303
Covington, GA 30014
Phone (770) 787-6957

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: audreydudzik@nms.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vna & Hospice of the Southwest Region, Inc.Rutland, VT, CCN 477007 Home health agency Corporate Director Apr 1, 2020
Vna & Hospice of the Southwest Region, Inc.Rutland, VT, CCN 471507 Hospice Corporate Director Apr 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 1

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1669715728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "678-471-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Allen St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014560",
            "country_code": "US",
            "telephone_number": "802-775-7111",
            "fax_number": "802-747-6207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Commons St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "05701",
            "country_code": "US",
            "telephone_number": "802-775-1903",
            "fax_number": "802-775-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-225-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDZIK",
        "first_name": "AUDREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "042-0014052",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "74341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BUTCHER",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.