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

Itauma Udosen, DO

Individual provider Family Medicine Physician · NPI 1265793616

Itauma Udosen, DO is a Family Practice in Lithonia, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2012, 14 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
14
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2745 Dekalb Medical Pkwy Ste 110
Lithonia, GA 30058-4933
Phone: (770) 593-2382
Fax: (678) 514-2527
Show map & directions

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

Additional practice locations (1)

  • 1324 Highway 138 Sw, Riverdale, GA 30296-1404 — (770) 907-4949

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 78910 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 078910 (GA)

Record details

NPI number1265793616
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2012
Last updated in NPPESJuly 21, 2022
Certification dateApril 6, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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