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

Individual provider Internal Medicine Physician · NPI 1962990648

Ebenezer Adeboye Dawodu, MD is a Nephrology in Lawrenceville, Georgia. Qualified in 2003, 23 years ago. Practices with Kidney Care Center Gwinnett LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2018
Specialties on file
2
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

601A Professional Dr Ste 235
Lawrenceville, GA 30046
Phone: (470) 292-3957
Fax: (470) 292-3683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3980 Rogers Bridge Rd, Duluth, GA 30097-2214 — (470) 292-3957

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 100910 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 100910 (GA)

Record details

NPI number1962990648
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2018
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing addressPo Box 3877, Joliet, IL 60434-3877

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kidney Care Center Gwinnett Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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