Active NPI
Ndidi Eugene Madu, D.O.
- Family Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 65703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003113173A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 065703 | GA | MD | Family Medicine Physician |
| 65703 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Belle LLC | Family Medicine | Current | Accepting new patients |
| Madu Medical Group, P.C. | Current | 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.
-
- Primary Care Clinic/Center
- Conyers, GA
- NPI 1457753972
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.