NPIMap

Individual provider Active NPI

Gabriel Ikemba Madu, M.D., D.O., M.P.H.

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1437491123
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85427 Issued in GA
Practice address
4017 Atlanta Hwy # B
Athens, GA 30606-0812
Phone
(706) 850-0067
Fax
(706) 521-8187
NPI assigned
Mar 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25560 MS
Family Medicine Physician 207Q00000X 85427 GA Primary

Addresses

Primary practice location

4017 Atlanta Hwy # B
Athens, GA 30606-0812

Mailing address

4017 Atlanta Hwy # B
Athens, GA 30606-0812
Phone (706) 850-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180719001603 MS Practitioner - Family Practice 4082961214 Reassigns benefits to 1 organization
I20190831000094 AL Practitioner - Family Practice 4082961214 Reassigns benefits to 1 organization
I20200713003806 GA Practitioner - Family Practice 4082961214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25560MSMDFamily Medicine Physician
T-3270MSMDFamily Medicine Physician
1999ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group LLC CurrentSince Mar 1, 2026 Accepting new patients
Caregap Medfast Clinic PC Current Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Aug 8, 2023 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine CurrentSince Jun 19, 2019 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jun 19, 2019 Accepting new patients
Pruitthealth - Macon, LLC Past Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

101 Banks Sta
Fayetteville, GA 30214
Phone (678) 610-3700

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Organizations & group practices 10

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 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1437491123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 ATLANTA HWY # B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060812",
            "telephone_number": "706-850-0067",
            "fax_number": "706-521-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 ATLANTA HWY # B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060812",
            "telephone_number": "706-850-0067",
            "fax_number": "706-521-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADU",
        "first_name": "GABRIEL",
        "middle_name": "IKEMBA",
        "name_prefix": "Dr.",
        "credential": "M.D., D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25560",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.