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Active NPI 1285467217 Individual Practitioner Male Practitioner

Raphael Sopunim Udom

Registered Nurse • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Raphael Udom is a registered healthcare professional specializing in Registered Nurse in Decatur, GA. Practice services are available at 1670 CLAIRMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1670 Clairmont Rd

Decatur, GA 300334004

Telephone 0000000000
Associated Practice Facility / Clinic
🏢 Atlanta Vamc Facility NPI 1902855216

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
154 Specialists

Practicing in Decatur, GA (3397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-23
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License GA 241170

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Caitlin Smedema , OTR, L

Occupational Therapist

NPI 1003112111

Occupational Therapist Registered, L

Karen Anderko

Case Manager/Care Coordinator

NPI 1003129271
Alexia Bustamante

Behavior Analyst

NPI 1003307851
Nathen Wright

Counselor

NPI 1003313149
Elizabeth Jones

Massage Therapist

NPI 1003345653
Vannadaniel Chor

Community Health Worker

NPI 1003406216

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2024

Registered at 1670 CLAIRMONT RD, DECATUR, GA 300334004 (Tel: 0000000000)

📍
Updated Business Mailing Address August 23, 2024

Registered at 3720 LONG LAKE DR, DOUGLASVILLE, GA 301357654 (Tel: 7708964689)

👤
Provider Name / Credentials Updated August 23, 2024

Recorded as RAPHAEL UDOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2024

Registered Nurse (License #241170 in GA)

🟢
Initial NPI Registration & Enumeration August 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285467217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2024
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

3720 Long Lake Dr

Douglasville, GA 301357654

Phone: 7708964689

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.