Theodora Mbanefo, MD
NPI 1376611764 · Internal Medicine Physician · Duluth, GA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodora Mbanefo, MD is a Internal Medicine Physician provider in Duluth, GA (NPI 1376611764).
Provider details
- NPI number
- 1376611764
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 056596 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodora Mbanefo's NPI number?
- Theodora Mbanefo's National Provider Identifier (NPI) is 1376611764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodora Mbanefo's specialty?
- Theodora Mbanefo is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodora Mbanefo located?
- Theodora Mbanefo's practice location on file with NPPES is 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506.
- What is Theodora Mbanefo's phone number?
- The practice phone number listed in the NPPES registry for Theodora Mbanefo is (770) 931-6065.
- Does Theodora Mbanefo accept Medicare?
- Theodora Mbanefo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodora Mbanefo's NPI active?
- Yes — Theodora Mbanefo's NPI (1376611764) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.