| Dr Gabriel Ikemba Madu, MD, DO, MPH | |
|
4017 Atlanta Hwy # B, Athens, GA 30606-0812 | |
| (706) 850-0067 | |
| (706) 521-8187 |
| Full Name | Dr Gabriel Ikemba Madu |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 4017 Atlanta Hwy # B, Athens, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437491123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25560 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 85427 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Pruitthealth - Macon | Macon, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 812 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gabriel Ikemba Madu, MD, DO, MPH 4017 Atlanta Hwy # B, Athens, GA 30606-0812 Ph: (706) 850-0067 | Dr Gabriel Ikemba Madu, MD, DO, MPH 4017 Atlanta Hwy # B, Athens, GA 30606-0812 Ph: (706) 850-0067 |
Dr. Ron Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Dr. Garth Russo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Mr. Errol Duncan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1061 Dowdy Rd, Suite 100, Athens, GA 30606 Phone: 706-621-7575 Fax: 706-621-7557 | |
Samuel C Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Suite 101, Athens, GA 30606 Phone: 706-548-6068 Fax: 706-354-1218 | |
Ruth Adetoun Adene-peter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 485 Highway 29 N, Athens, GA 30601 Phone: 706-438-4080 Fax: 706-438-4081 | |
Jordan Phillips, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Oglethorpe Ave Ste C7, Athens, GA 30606 Phone: 706-425-9445 Fax: 706-425-0820 | |
Michael N Carter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 892 Prince Ave, Athens, GA 30606 Phone: 706-227-2027 Fax: 706-227-2433 |