NPI age
13 years
Enumerated 2012-06-01
● Active
Type 1 · Individual
Itauma Udosen, DO
Udosen is 1 of 1 family medicine providers in Lithonia and 1 of 66 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 66 active family medicine providers in Georgia.
NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 54% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
2745 Dekalb Medical Pkwy Ste 110
Lithonia, GA 300584933
Mailing address
2745 Dekalb Medical Pkwy Ste 110
Lithonia, GA 300584933
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1324 Highway 138 Sw
Riverdale, GA 302961404
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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