John William Budell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17369 Issued in GA

Practice address

2175 Northlake Pkwy
BLDG 4 Ste 142
Tucker, GA 30084

Phone

(770) 496-2929

Fax

(770) 496-2930

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northlake Internal Medicine

  • Medical Specialty Clinic/Center
  • Tucker, GA
  • NPI 1710286414
  Authorized official Same address or phone
• Emory Medical Group, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1568661510
  NPD (past)
• First Medical Care Inc

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1962477190
  NPD (past)
• Internal Medicine Alliance

  • Specialist
  • Tucker, GA
  • NPI 1235178682
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972547198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 NORTHLAKE PKWY",
            "address_2": "BLDG 4 ST 142",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "770-496-2929",
            "fax_number": "770-496-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 NORTHLAKE PKWY",
            "address_2": "BLDG 4 STE 142",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "770-496-2929",
            "fax_number": "770-496-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDELL",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "17369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Browns Medical Center LLC
• Bruce R Penn Inc (Healing Transitions Counseling Center)
• Keith R Bruno, MD
• Nicole Fernandez Brunton
• Erica M Bryant, PHARM.D.
• Building Roses Health & Wellness
• Miesha Bunn
• Kia Elon Burch, PHYSICIAN ASSISTANT
• Vera E. Burns, O.D.
• Norman David Busch, DDS

• Internal Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.