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

Fumiko Egawa, MD

Individual provider Surgery Physician · NPI 1730740820

Fumiko Egawa, MD is a Colorectal Surgery (Proctology) in Atlanta, Georgia. Graduated from Southern College of Optometry in 2019, 7 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and Nebraska.

Years since qualifying
7
Trained at
Southern College of Optometry
Licensed in
GA, NE
In the registry since
2019
Specialties on file
3
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

20 Glenlake Pkwy
Atlanta, GA 30328-3431
Phone: (404) 365-0966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 105636 (GA)
Surgery Physician Taxonomy 208600000X · Licence 8568 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730740820
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address20 Glenlake Pkwy, Atlanta, GA 30328-3431

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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