Emem Udo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

06142 Issued in GA

Practice address

1780 Old 41 Hwy NW
Kennesaw, GA 30152-4428

Phone

(770) 427-7256

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in GA, TN2 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

Specialty

HospitalistAlso: Family Practice, Pediatric Medicine, Peripheral Vascular Disease

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Atlanta Inc Home health agency, Atlanta, GA, CCN 117067
• Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
• North Gwinnett Hospice Services, LLC Hospice, Suwanee, GA, CCN 851602
• Ross Memorial Health Care Ctr Nursing home, Kennesaw, GA, CCN 115515
• Social Circle NSG & Rehab Ctr Nursing home, Social Circle, GA, CCN 115532

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: emem.udo@jencaremed.gadirect.net
• Direct secure messaging: emem.udo@hca1.eclinicaldirectplus.com

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• North Gwinnett Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Suwanee, GA
  • NPI 1508605379

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Social Circle Cypress LLC

  • Skilled Nursing Facility
  • Social Circle, GA
  • NPI 1780005751

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Universe Cypress LLC

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1497176465

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• North Gwinnett Healthcare, LLC

  • Adult Medicine Physician
  • Suwanee, GA
  • NPI 1285356386
  Medicare reassignment NPD Authorized official
• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  Medicare reassignment NPD
• Georgia Mso LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1952196164
  Medicare reassignment NPD
• Hardy Renew Wellness,LLC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1952914368
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385
  Medicare reassignment NPD
• North Gwinnett Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Suwanee, GA
  • NPI 1508605379

  Family Medicine

  Medicare reassignment NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768
  Medicare reassignment NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Family Medicine, TN

  Medicare reassignment NPD
• Hospital Medicine Services of TN, LLC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1982301065
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  GA

  Medicare reassignment NPD
• Phoenix Skilled Nursing Agency LLC

  • Home Health Agency
  • Suwanee, GA
  • NPI 1871314211
  NPD Authorized official
• Tift Regional Health System Inc

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1790280857
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guardian Home Care, LLC

  • Home Health Agency
  • Roswell, GA
  • NPI 1992736227
  Care Compare affiliation
• North Gwinnett Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Suwanee, GA
  • NPI 1508605379
  Care Compare affiliation
• Shady Grove Rest Home Inc

  • Skilled Nursing Facility
  • Kennesaw, GA
  • NPI 1538228648

  Nursing home

  Care Compare affiliation
• Social Circle Cypress LLC

  • Skilled Nursing Facility
  • Social Circle, GA
  • NPI 1780005751

  Nursing home

  Care Compare affiliation
• STG Healthcare of Atlanta, Inc.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1952337214
  Care Compare affiliation

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1801073465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "404-836-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 OLD 41 HWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524428",
            "telephone_number": "770-427-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 N Cherokee Rd",
            "address_purpose": "LOCATION",
            "city": "Social Circle",
            "state": "GA",
            "postal_code": "300252886",
            "country_code": "US",
            "telephone_number": "770-464-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 E May St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306807132",
            "country_code": "US",
            "telephone_number": "855-699-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Milstead Rd NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123823",
            "country_code": "US",
            "telephone_number": "800-558-0653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Epps Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063312",
            "country_code": "US",
            "telephone_number": "706-549-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDO",
        "first_name": "EMEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "06142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uemem361100@directwellstar.org",
            "affiliation": "N",
            "address_1": "303 Parkway Dr NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303121212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Savannah Turner
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• Marian Uba, FNP
• Nkiruka J Udejiofor, MD
• Chidebelu Enyinnaya Ufodike, PHARMD, DPH
• Danielle Alice Ulekowski, ATC
• Autumn Rachel Ulrich, PT
• Tamara Underwood, NP
• Uniquely U Autism Center LLC

• Family Medicine Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.