Gande Li, MD
Individual provider Active NPI Diagnostic Radiology Physician · Macon, GA
NPI 1962039230 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1962039230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 336499 (NY)
- Practice address
- 380 Hospital Dr Ste 430
Macon, GA 31217-8017 - Phone
- (478) 751-0367
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626000343 | NY | Practitioner - Diagnostic Radiology | 0244620318 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 336499 | NY | Yes |
Addresses
Primary practice location
380 Hospital Dr Ste 430
Macon, GA 31217-8017
Mailing address
380 Hospital Dr Ste 430
Macon, GA 31217-8017
Phone (478) 751-0367
Other practice location 1
227 Madison St
New York, NY 10002-7537
Phone (212) 238-7000
Other providers in Macon, GA
- Phoeby K Lewis
- Regina L Lewis
- Torrance R Lewis
- William S Lewis
- Ericka Vanesa Li Fuentes
- Michelle Li
- Delson Liberal
- Life and Living Companion Care LLC
- Life Line Home Care Inc
- Life Solutions Counseling Services, LLC
All providers in Macon, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.