Active NPI
Audrey C Dudzik, MD
- Surgery Physician
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 74341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74341 | GA | MD | Surgery Physician |
| 042-0014052 | VT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital | Current | Accepting new patients | |
| Springfield Hospital .Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Surgery | Current | Accepting new patients |
| Piedmont Providers LLC | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Vna & Hospice of the Southwest Region, Inc. | Home health agency | Corporate Director | Apr 1, 2020 |
| Vna & Hospice of the Southwest Region, Inc. | 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.
-
- Home Health Agency
- Rutland, VT
- NPI 1407856800
Corporate Director
-
- Community Based Hospice Care Agency
- Rutland, VT
- NPI 1790867596
Corporate Director
-
- Public Health or Welfare Agency
- Rutland, VT
- NPI 1578743621
Corporate Director
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.