DR. NDUBUISI D AHURUONYE (MD) – Student in an Organized Health Care Education/Training Program, NPI 1467959494

DR. NDUBUISI D AHURUONYE (MD) is a healthcare provider. based in Marietta, Georgia. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD217388 (OR). The NPI Number for DR. NDUBUISI D AHURUONYE (MD) is 1467959494

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. NDUBUISI D AHURUONYE (MD)
NPI
1467959494
Phone
(770) 422-2326
Address
677 CHURCH ST NE
Enumeration Date
6 April 2018
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2018 (8 years ago)
PAC ID
7911258264
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20220714003202
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
nahuruonye495168@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:8State licenses:3Other names

686 NEUROLOGY in GA

Provider Addresses for DR. NDUBUISI D AHURUONYE (MD)

  • 677 CHURCH ST NE

    MARIETTA, GA 300601101

    Phone: (770) 422-2326

    Fax: (770) 422-7797

    Type: Mailing

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221059

    Phone: (404) 712-2000

    Type: Location

  • 824, Piccadilly Circle, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302817936

    Phone: (404) 952-0920

    Type: Mailing

  • 1364 Clifton Rd NE

    Atlanta, GA 303221059

    Phone: (404) 712-2000

    Type: Location

  • 100 WOODRUFF CIR NE

    ATLANTA, GA 303221020

    Phone: (404) 727-5658

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20220714003202INeurologyGATBD
I20230901000089INeurologyWVTBD
I20231010000849INeurologyORTBD
I20231011001855INeurologyWATBD
I20250828001059INeurologyNYTBD
I20260122002771INeurologyPATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DR. NDUBUISI D AHURUONYE (MD) in U.S. healthcare records?
The official identifier for DR. NDUBUISI D AHURUONYE (MD) is NPI 1467959494.
Is DR. NDUBUISI D AHURUONYE (MD) shown as active in public data?
Registry records indicate DR. NDUBUISI D AHURUONYE (MD) maintains an active NPI.
How would a patient describe DR. NDUBUISI D AHURUONYE (MD)'s focus?
For DR. NDUBUISI D AHURUONYE (MD), the primary taxonomy reads as Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is DR. NDUBUISI D AHURUONYE (MD) associated with Marietta?
Public fields place DR. NDUBUISI D AHURUONYE (MD) around Marietta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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