Individual provider Active NPI

Yvonne Mukosolu Maduka, MD

  • Family Medicine Physician
  • Riverdale, GA
National Provider Identifier
1801061775
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64804 Issued in GA
Practice address
7028 Highway 85
Riverdale, GA 30274-2946
Phone
(470) 444-3136
Fax
(470) 298-7730
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64804 GA Primary

Addresses

Primary practice location

7028 Highway 85
Riverdale, GA 30274-2946

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

601 S 8th St
Griffin, GA 30224-4213
Phone (770) 467-6314

Other practice location 2

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ymaduka146642@directwellstar.org

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
I20110118000794 GA Practitioner - HospitalistPractitioner - Family Practice 0648469981 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

1825 Rockbridge Rd
Suite 15B
Stone Mountain, GA 30087-3306
Phone (718) 765-6009

7028 Hwy 85
Riverdale, GA 30274-2946
Phone (470) 444-3136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64804GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Family Medicine CurrentSince Jun 9, 2025 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Mar 1, 2016 Accepting new patients
Apogee Medical Group Georgia CurrentSince Oct 20, 2016 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Mar 1, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Jan 10, 2017 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince May 30, 2018 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 10, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Mar 25, 2017 Accepting new patients
City of Hope Medical Group of Georgia LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

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

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

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

7028 Highway 85
Riverdale, GA 30274
Phone (470) 444-3136

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1801061775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742946",
            "telephone_number": "470-444-3136",
            "fax_number": "470-298-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244213",
            "country_code": "US",
            "telephone_number": "770-467-6314",
            "fax_number": "770-467-6324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303443615",
            "country_code": "US",
            "telephone_number": "404-466-1034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "YVONNE",
        "middle_name": "MUKOSOLU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymaduka146642@directwellstar.org",
            "affiliation": "N",
            "address_1": "601 S 8th St",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.