Individual provider Active NPI

Ndidi Eugene Madu, D.O.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1457587842
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65703 Issued in GA
Practice address
11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271
Phone
(855) 232-7888
Fax
(603) 912-8394
NPI assigned
May 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 065703 GA
Family Medicine Physician 207Q00000X 65703 GA Primary

Addresses

Primary practice location

11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271

Mailing address

49 Lafayette Rd Unit C
Hampton Falls, NH 03844-2326
Phone (770) 929-0404

Other identifiers 1

IdentifierTypeStateIssuer
003113173AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110823000089 GA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8527238930 Reassigns benefits to 2 organizations
I20260228000151 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8527238930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Project Belle LLCGroup PAC ID 8022356401, 8 clinicians

Practice addresses (Care Compare)

11720 Amber Park Dr
Suite 160
Alpharetta, GA 30009-2271
Phone (855) 232-7888

231 S Bemiston Ave
Suite 800
Saint Louis, MO 63105-1925
Phone (214) 814-0994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065703GAMDFamily Medicine Physician
65703GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Project Belle LLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Madu Medical Group, P.C. CurrentSince Oct 10, 2014 Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3301 N University Dr
Ste 100
Coral Springs, FL 33065
Phone (754) 757-9977

11720 Amber Park Dr
Ste 160
Alpharetta, GA 30009
Phone (404) 617-5301

1775 Parker Rd SE
Ste C210
Conyers, GA 30094
Phone (404) 923-0223

1815 Highway 138 SE
Ste 800
Conyers, GA 30013
Phone (770) 922-9222

231 S Bemiston Ave
Saint Louis, MO 63105
Phone (314) 422-9657

231 S Bemiston Ave
Ste 800
Saint Louis, MO 63105
Phone (214) 814-0994

49 Lafayette Rd
Unit C
Hampton Falls, NH 03844

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.

NPI Registry JSON

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1457587842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAFAYETTE RD UNIT C",
            "city": "HAMPTON FALLS",
            "state": "NH",
            "postal_code": "038442326",
            "telephone_number": "770-929-0404",
            "fax_number": "603-912-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 AMBER PARK DR STE 160",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092271",
            "telephone_number": "855-232-7888",
            "fax_number": "603-912-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADU",
        "first_name": "NDIDI",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "065703",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113173A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.