Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domnique S Newallo, MD

Individual provider Nuclear Radiology Physician · NPI 1316478241

Domnique S Newallo, MD is a Diagnostic Radiology in Atlanta, Georgia. Graduated from Medical University of South Carolina College of Medicine in 2017, 9 years ago. Practices with Osu Radiology LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Georgia, Ohio and South Carolina.

Years since qualifying
9
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, OH, SC
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Woodruff Cir NE
Atlanta, GA 30322-4607
Phone: (678) 362-2475
Fax: (678) 807-5414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 91700 (SC)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 81677 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.151641 (OH)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 81677 (GA)

Record details

NPI number1316478241
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Osu Radiology Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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