P Praxis·MD
● Active Type 1 · Individual

Idorenyin Eka-Imo Ndem, MD

Surgery·Atlanta, GA· NPI 1154811958 · Enumerated 2018 · 8 years on NPI
Ndem is 1 of 47 surgery providers in Atlanta and 1 of 127 in Georgia.
NPI age
8 years
Enumerated 2018-05-16
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 127 active surgery providers in Georgia.

NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
2 states
Top 85% — 15% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
1001 Johnson Ferry Rd
Atlanta, GA 303421605
📞 4047857792
Mailing address
975 Johnson Ferry Rd Ste 100
Atlanta, GA 303421618
📞 4047857792fax 9199663814

Additional practice locations

1 secondary location on file with NPPES.

Location 2
101 Manning Dr
Chapel Hill, NC 275144220
📞 9199664446fax 9199663814

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #100641 taxonomy 2086S0122X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    NC license #238506 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 77 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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