Rita Udom, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

39505 Issued in GA

Practice address

2795 Davis Rd
Marietta, GA 30062-6670

Phone

(404) 998-6825

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1710506233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 DAVIS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626670",
            "telephone_number": "404-998-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 DAVIS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626670",
            "telephone_number": "404-998-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOM",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "39505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Marietta",
            "affiliation": "N",
            "endpointDescription": "ATLANTA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atlanta",
            "address_1": "2795 Davis Rd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300626670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan Tyson
• U.S. Healthworks Medical Group of Georgia, Inc.
• Solomon B. Udo, CEO
• Timothy N Udoji, MD
• Unwanaobong Nsikitima Udoko
• Graciela Elizabeth Uhles, LPC
• Nancy Uhrich
• Roaj Ujjin, MD
• Anum Ul-Haque, DO
• Alison Lynn Brantley Ulbrandt, D.O.

• Emergency Medical Services (Emergency Medicine) Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.