| Madu Medical Group, P.C. | |
|
1815 Highway 138 Se Ste 800 Conyers GA 30013-2098 | |
| (770) 929-0404 | |
| (770) 929-0540 |
| Full Name | Madu Medical Group, P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1815 Highway 138 Se Ste 800, Conyers, Georgia |
| Authorized Official Name and Position | Ndidi Eugene Madu (PRESIDENT) |
| Authorized Official Contact | 3179460591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madu Medical Group, P.C. Po Box 83042 Conyers GA 30013-8014 | Madu Medical Group, P.C. 1815 Highway 138 Se Ste 800 Conyers GA 30013-2098 Ph: (770) 929-0404 |
| NPI Number | 1457753972 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 7618292590 |
|---|---|
| Medicare Enrollment ID | O20150218000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457753972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 65703 (Georgia) | Primary |
| Provider Name | Ndidi Eugene Madu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457587842 PECOS PAC ID: 8527238930 Enrollment ID: I20110823000089 |
| Provider Name | April Madu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206529 PECOS PAC ID: 4587810460 Enrollment ID: I20120808000676 |
Internal Medicine Associates of Rockdale PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Wellbrook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 |
Family & Occupational Medicine of Conyers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Crescent Moon Dr Ne, Conyers, GA 30012 Phone: 404-358-3427 |
Alpha Health and Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2274 Salem Rd Se # 106-1232, Conyers, GA 30013 Phone: 770-648-5333 |
Conyers Internal Medicine LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012 Phone: 770-922-7000 |
Kcms Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Dr Se, Conyers, GA 30013 Phone: 770-881-7100 |
Aylo Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Nortec Dr Se, Conyers, GA 30013 Phone: 678-374-7514 Fax: 678-374-7517 |