Carolyn Gail Dudley, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

028762 Issued in GA

Practice address

755 Mount Vernon Hwy NE Ste 310
Atlanta, GA 30328-4288

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Dec 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX, CA3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2483/brand/1/csg/1/fhir/r4
• Direct secure messaging: carolyn.dudley@direct.signature.masshiway.net

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.

• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  Diagnostic Radiology

  Medicare reassignment NPD
• Juno Medical Practice

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1558992206

  Family Medicine, GA

  Medicare reassignment NPD
• Lander Medical Clinic, PC

  • Family Medicine Physician
  • Lander, WY
  • NPI 1932299690

  GA

  Medicare reassignment NPD
• Millenium Medical Corp

  dba CareMed Family Practice

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1740443183

  GA

  Medicare reassignment NPD
• Ton San Simon Health Center

  dba San Simon Health Center

  • Health Service Clinic/Center
  • Sells, AZ
  • NPI 1588834998

  TX

  Medicare reassignment NPD
• Ton San Xavier Health Center

  dba San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
  • NPI 1437157302

  TX

  Medicare reassignment NPD
• Ton Sells Hospital

  dba Sells Hospital

  • Public Health or Welfare Agency
  • Sells, AZ
  • NPI 1487652426

  TX

  Medicare reassignment NPD
• Union County Health Care Associates LLC

  • Internal Medicine Physician
  • Garwood, NJ
  • NPI 1033271291

  GA

  Medicare reassignment NPD
• West Virginia Radiology Associates PC

  dba Northern Light Radiology Associates

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1093550915

  CA

  Medicare reassignment NPD
• Women's Imaging Specialists, LLC

  • Diagnostic Radiology Physician
  • Cumming, GA
  • NPI 1811440522
  Medicare reassignment
• Optumcare New Mexico LLC

  dba DaVita Medical Group

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210

  GA

  Medicare reassignment
• Women's Imaging Specialists - Cumming, LLC

  • Mammography Clinic/Center
  • Cumming, GA
  • NPI 1588133870
  NPD

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1689651606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284288",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284288",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "CAROLYN",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "289819",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "028762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan S Duckwall, P.A.
• Faith Duckworth
• James Coleman Duckworth
• Kimberly A Duckworth, PT
• Matthew Ryan Dudgeon, MD
• Christopher J Dudley
• Karen Dudley, MD
• Renae Dudley
• Tiffany Dudley
• Brian Sterling Duensing, MMSC

• Diagnostic Radiology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.