Active NPI
Judith Namakula, N.P-C
- Family Nurse Practitioner
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN196422
- Practice address
- 3350 Steve Reynolds Blvd
Duluth, GA 30096 - Phone
- (706) 666-6196
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN196422 | GA | Primary |
Addresses
Primary practice location
3350 Steve Reynolds Blvd
Duluth, GA 30096
Mailing address
3350 Steve Reynolds Blvd
Suite 408
Duluth, GA 30096
Phone (770) 666-6196
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3350 Steve Reynolds Blvd
Suite 408
Duluth, GA 30096-4512
Phone (678) 783-4449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Express Clinic, LLC | Current | Accepting new patients | |
| Atlanta Family Physicians PC | Past | Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients | |
| Atlanta Health Unlimited | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
3628 Satellite Blvd
Unit 958236
Duluth, GA 30095
3350 Steve Reynolds Blvd
Ste 408
Duluth, GA 30096
Phone (678) 783-4449
3350 Steve Reynolds Blvd
Duluth, GA 30096
Phone (678) 783-4449
976 Killian Hill Rd SW
#A
Lilburn, GA 30047
Phone (770) 923-6400
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Duluth, GA
- NPI 1023768090
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Clinic/Center
- Decatur, GA
- NPI 1194914135
-
- Clinic/Center
- Decatur, GA
- NPI 1598954281
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1932467768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 STEVE REYNOLDS BLVD",
"address_2": "SUITE 408",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "770-666-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 STEVE REYNOLDS BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "706-666-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMAKULA",
"first_name": "JUDITH",
"credential": "N.P-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2022-06-01",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN196422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.