NGUENDAB K GWANYALLA – Emergency Medicine Physician, NPI 1275095291

NGUENDAB K GWANYALLA is a healthcare provider. based in North andover, Massachusetts. specializing in EMERGENCY MEDICINE. They hold a License No. 89932 (GA). The NPI Number for NGUENDAB K GWANYALLA is 1275095291

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
NGUENDAB K GWANYALLA
NPI
1275095291
Phone
Not provided
Address
265 BEAR HILL RD
Enumeration Date
1 April 2019
Last Update Date
15 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
7707324000
Graduation Year
2019 (7 years ago)
PAC ID
6406184670
Group Practice PAC ID
3476554320
Professional Enrollment ID
I20220428001013
Address ID
GA301061121AU3950XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

Provider Addresses for NGUENDAB K GWANYALLA

  • 265, Bear Hill Road, Marble Ridge Station, North Andover Center, North Andover, Essex County, Massachusetts, 01845, United States

    NORTH ANDOVER, MA 018452115

    Phone:

    Type: Mailing

  • 80 Jesse Hill Jr Dr SE

    Atlanta, GA 303033031

    Phone: (404) 251-8866

    Type: Location

  • 530 PIEDMONT AVE NE APT 515

    ATLANTA, GA 303084408

    Phone:

    Type: Mailing

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

    ATLANTA, GA 303221059

    Phone: (404) 712-2000

    Type: Location

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: 2022-04-28

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
I20220428001013IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making229224$0
99284Emergency department visit with moderate level of medical decision making8181$0
99291Critical care, first 30-74 minutes4343$0
99292Critical care, each additional 30 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 01845)

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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: 3476554320View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineLA
Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineMN
Emergency MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for NGUENDAB K GWANYALLA in U.S. healthcare records?
The official identifier for NGUENDAB K GWANYALLA is NPI 1275095291.
Is NGUENDAB K GWANYALLA shown as active in public data?
Registry records indicate NGUENDAB K GWANYALLA maintains an active NPI.
How would a patient describe NGUENDAB K GWANYALLA's focus?
For NGUENDAB K GWANYALLA, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is NGUENDAB K GWANYALLA registered?
Use North Andover, Massachusetts as the headline location for NGUENDAB K GWANYALLA here.
Can I trust this NPI listing for NGUENDAB K GWANYALLA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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