Organization Active NPI

Carolyn G. Dudley, MD, PC

  • Diagnostic Radiology Physician
  • Sandy Springs, GA
National Provider Identifier
1801250022
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28762 Issued in GA
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

Updated by the provider on Apr 13, 2016

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.