DR. NDUBUISI APU NDUKWE (M.D) – Family Medicine Physician, NPI 1215268040

DR. NDUBUISI APU NDUKWE (M.D) is a healthcare provider. based in Jefferson, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 63788 (GA). The NPI Number for DR. NDUBUISI APU NDUKWE (M.D) is 1215268040

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. NDUBUISI APU NDUKWE (M.D)
NPI
1215268040
Phone
(776) 387-5656
Address
528 Panther Dr
Enumeration Date
18 January 2010
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703056911
Graduation Year
2006 (20 years ago)
PAC ID
4880718378
Group Practice PAC ID
5991115883
Professional Enrollment ID
I20100907000325
Address ID
GA300174139GR115XXPKWY401

Contacts

Secure Messaging
nndukwe101637@nghs.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

3,103 FAMILY PRACTICE in GA

Provider Addresses for DR. NDUBUISI APU NDUKWE (M.D)

  • 528 Panther Dr

    Jefferson, GA 305495400

    Phone: (776) 387-5656

    Fax: (706) 387-5554

    Type: Location

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 852, Dacula Road, Dacula, Gwinnett County, Georgia, 30019, United States

    DACULA, GA 30019

    Phone: (770) 848-9380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Silk Road Medical, Inc. ($107).

Total Amount

$142

General + Research + Ownership

Payments

3

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100907000325IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg13013$0
99213Established patient office or other outpatient visit, 20-29 minutes120119$0
99214Established patient office or other outpatient visit, 30-39 minutes5655$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected4343$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 30549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991115883View full group profile
NameSpecialtyState
Family PracticeGA

Reviews

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Frequently asked questions

Does DR. NDUBUISI APU NDUKWE (M.D) have a public NPI I can cite?
Public records show DR. NDUBUISI APU NDUKWE (M.D) under NPI 1215268040.
Is DR. NDUBUISI APU NDUKWE (M.D)'s NPI status active today?
Active status means DR. NDUBUISI APU NDUKWE (M.D)'s NPI record is not deactivated in the public file.
What services align with DR. NDUBUISI APU NDUKWE (M.D)'s listing?
DR. NDUBUISI APU NDUKWE (M.D)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. NDUBUISI APU NDUKWE (M.D) tied to Jefferson, Georgia?
If you are local to Jefferson, Georgia, DR. NDUBUISI APU NDUKWE (M.D) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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