Nguendab K Gwanyalla, - Medicare Emergency Medicine in Atlanta, GA

Nguendab K Gwanyalla, is a medicare enrolled "Emergency Medicine" physician in Atlanta, Georgia. She went to University Of Massachusetts Medical School and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Bortolazzo Group, Llc and her current practice location is 1364 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 712-2000.

Nguendab K Gwanyalla is licensed to practice in Georgia (license number 89932) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275095291.

Contact Information

Nguendab K Gwanyalla,
1364 Clifton Rd Ne,
Atlanta, GA 30322-1059
(404) 712-2000
Not Available

Map and Direction




Physician's Profile

Full NameNguendab K Gwanyalla
GenderFemale
SpecialityEmergency Medicine
Experience5 Years
Location1364 Clifton Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nguendab K Gwanyalla attended and graduated from University Of Massachusetts Medical School in 2019
  NPI Data:
  • NPI Number: 1275095291
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 04/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406184670
  • Enrollment ID: I20220428001013

Medical Identifiers

Medical identifiers for Nguendab K Gwanyalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275095291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 89932 (Georgia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Douglas HospitalDouglasville, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Bortolazzo Group, Llc347655432072

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nguendab K Gwanyalla allows following entities to bill medicare on her behalf.
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nguendab K Gwanyalla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nguendab K Gwanyalla,
530 Piedmont Ave Ne Apt 515,
Atlanta, GA 30308-4408

Ph: () -
Nguendab K Gwanyalla,
1364 Clifton Rd Ne,
Atlanta, GA 30322-1059

Ph: (404) 712-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.