Solomon B. Udo, CEO

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Practice address

3102 Perch Overlook SW
Marietta, GA 30008-5977

Phone

(404) 274-7465

Fax

(770) 726-7245

NPI assigned

Jan 23, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1851539191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 PERCH OVERLOOK SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085977",
            "telephone_number": "404-274-7465",
            "fax_number": "770-726-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 PERCH OVERLOOK SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085977",
            "telephone_number": "404-274-7465",
            "fax_number": "770-726-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDO",
        "first_name": "SOLOMON",
        "middle_name": "B.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Thomas Twiss
• Daijia Tyson, D.C
• James W Tyson VI, MD
• Nathan Tyson
• U.S. Healthworks Medical Group of Georgia, Inc.
• Timothy N Udoji, MD
• Unwanaobong Nsikitima Udoko
• Rita Udom, MD
• Graciela Elizabeth Uhles, LPC
• Nancy Uhrich

• Parenteral & Enteral Nutrition Supplies (DME) in Marietta, GA
• Providers in Marietta, GA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.