Doctor profile · Federal record
Dr. Raina Udom, P.A.-C
Physician Assistant · Stone Mountain, GA
- NPI 1477999860
- Accepts Medicare
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5470 Memorial Dr, Ste A
Stone Mountain, GA 300833268
(404) 296-8500
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Georgia #6417
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477999860. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
79
Distinct HCPCS
4
Medicare allowed
$3,927
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 24 | 12 | $16 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | 22 | $35 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 20 | 18 | $77 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $95 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 41. This provider delivers 1.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
15
Total drug cost
$442
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ipratropium Bromide | Generic | 15 | 15 | $442 |
Frequently asked questions
What is Dr. Raina Udom's medical specialty?
Dr. Raina Udom practices Physician Assistant in Stone Mountain, GA.
Where does Dr. Raina Udom practice?
Dr. Raina Udom practices at 5470 Memorial Dr, Stone Mountain, GA 300833268. Office phone: 4042968500.
What is Dr. Raina Udom's NPI?
Dr. Raina Udom's National Provider Identifier (NPI) is 1477999860, issued by NPPES.
Does Dr. Raina Udom accept Medicare assignment?
Yes. Dr. Raina Udom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Raina Udom commonly perform?
Top Medicare-reported procedures in 2023: Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.