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

Nirisha Commodore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699346569

Nirisha Commodore, MD is an Internal Medicine in Atlanta, Georgia. Graduated from Boston University School of Medicine in 2022, 4 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Boston University School of Medicine
Licensed in
GA
In the registry since
2021
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

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone: (404) 778-1371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 101584 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699346569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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