Individual provider Active NPI

Adjoa B Duker, M.D., M.P.H.

  • Family Medicine Physician
  • Tucker, GA
National Provider Identifier
1881713121
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
96789 Issued in GA
Practice address
1475 Montreal Rd
Tucker, GA 30084-6922
Phone
(678) 292-6606
Fax
(678) 280-7307
NPI assigned
Mar 28, 2007
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239794 NY
Family Medicine Physician 207Q00000X 96789 GA Primary

Addresses

Primary practice location

1475 Montreal Rd
Tucker, GA 30084-6922

Mailing address

2045 Peachtree Rd NE Ste 310
Atlanta, GA 30309-1407
Phone (404) 222-9914

Other practice location 1

360 E 193rd St
Bronx, NY 10458-4710
Phone (718) 920-4678

Other practice location 2

123 W 20th St
New York, NY 10011-3639
Phone (646) 454-9000

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Other names 1

  • Adjoa Duker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231206002581 GA Practitioner - Family Practice 0446333264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Capital Healthcare PC CurrentSince Oct 28, 2023 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore New Rochelle Hospital PastSince Mar 23, 2020 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Allcare Ga PC Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1881713121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091407",
            "telephone_number": "404-222-9914",
            "fax_number": "678-280-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846922",
            "telephone_number": "678-292-6606",
            "fax_number": "678-280-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E 193rd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104584710",
            "country_code": "US",
            "telephone_number": "718-920-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 W 20th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100113639",
            "country_code": "US",
            "telephone_number": "646-454-9000",
            "fax_number": "646-454-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKER",
        "first_name": "ADJOA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239794",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "96789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADJOA",
            "last_name": "DUKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.