Individual provider Active NPI

T David Gbadebo, MD

  • Cardiovascular Disease Physician
  • Conyers, GA
National Provider Identifier
1194799510
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
066603 Issued in GA
Practice address
1372 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone
(470) 500-2273
Fax
(470) 289-5440
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 066603 GA Primary

Addresses

Primary practice location

1372 Wellbrook Cir NE
Conyers, GA 30012-3872

Mailing address

1372 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone (470) 500-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512001830 GA Practitioner - Cardiac Electrophysiology 4284663394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Atlanta Cardiology LLCGroup PAC ID 7517096050, 2 clinicians

Practice addresses (Care Compare)

1372 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone 4705002273107

5447 Dividend Dr
Lithonia, GA 30058-8412
Phone 7703228881105

Hospital & facility affiliations

  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31568TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Center & CRC Cardiovascular Disease Current Accepting new patients
Ut Physicians Inc Past Accepting new patients
Galen Medical Group, PC PastSince Dec 1, 1993 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients

Locations

1372 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 274-3378

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

Interoperability endpoints

  • Direct secure messaging: david.gbadebo@eac.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGECAA/Endpoint/HGECAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAABED/Endpoint/JAABED

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1194799510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "470-500-2273",
            "fax_number": "470-289-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "470-500-2273",
            "fax_number": "470-289-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBADEBO",
        "first_name": "T DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "066603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.