Active NPI
Carolyn G. Dudley, MD, PC
- Diagnostic Radiology Physician
- Sandy Springs, GA
National Provider Identifier
1801250022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 28762
- Legal business name
- CAROLYN G. DUDLEY, MD, PC
- Practice address
- 956 Persimmon PT
Sandy Springs, GA 30328-4503 - Phone
- (770) 331-3227
- Fax
- (404) 843-9398
- NPI assigned
- Apr 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carolyn Gail Dudley, MD
- Title
- President
- Phone
- (770) 331-3227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 28762 | GA | Primary |
Addresses
Primary practice location
956 Persimmon PT
Sandy Springs, GA 30328-4503
Mailing address
755 Mount Vernon Hwy NE
Suite 310
Atlanta, GA 30328-4274
Phone (770) 331-3227
National Provider Directory
National Provider DirectoryLocations
755 Mount Vernon Hwy NE
Ste 310
Sandy Springs, GA 30328
Phone (404) 252-3430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460505600000",
"number": "1801250022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HWY NE",
"address_2": "SUITE 310",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284274",
"telephone_number": "770-331-3227",
"fax_number": "404-843-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 PERSIMMON PT",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284503",
"telephone_number": "770-331-3227",
"fax_number": "404-843-9398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN G. DUDLEY, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2016-04-13",
"status": "A",
"authorized_official_last_name": "DUDLEY",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-331-3227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "28762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.