Frederick Lamar Dudley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1120 W Broad Ave Ste B2
Albany, GA 31707-4385

Phone

(229) 376-5140

Fax

(404) 341-3476

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1881163913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E MAIN ST",
            "city": "LEARY",
            "state": "GA",
            "postal_code": "398625930",
            "telephone_number": "229-376-5140",
            "fax_number": "404-346-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W BROAD AVE STE B2",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074385",
            "telephone_number": "229-376-5140",
            "fax_number": "404-341-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "FREDERICK",
        "middle_name": "LAMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Aaron Dowling
• Dr. Coretta D. Gervin Healthcare
• Carlos Eduardo Drago Ludowieg, M.D.
• DRS Adams & Woods MD, LLC
• Dublin Vamc
• John Duelge, MD
• Kevin Michael Duff, CRNA
• Amanda Hope Duke
• David Kristopher Dukes, DO
• Jon Kenneth Durham

• Mental Health Counselor in Albany, GA
• Providers in Albany, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.