ALEXANDER CHUKWUMA IBEZI-ENENDU (D.O.) – Family Medicine Physician, NPI 1154615979
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for ALEXANDER CHUKWUMA IBEZI-ENENDU (D.O.)
292 INDUSTRIAL BLVD STE 300
HAWKINSVILLE, GA 310368034
Phone: (478) 783-3610
Fax: (478) 783-3611
Type: Location
222 Perry Hwy
Hawkinsville, GA 310366748
Phone: (478) 783-4887
Fax: (478) 783-1877
Type: Location
200 S Kimberly Rd
Warner Robins, GA 310888721
Phone: (478) 293-4900
Type: Location
604 Bluebird Blvd
Fort Valley, GA 310305081
Phone: (478) 825-2031
Type: Location
292 Industrial Blvd Ste 300
Hawkinsville, GA 310368034
Phone: (478) 783-3610
Fax: (478) 783-3611
Type: Location
801 Elberta Rd
Warner Robins, GA 310931735
Phone: (478) 923-3146
Type: Location
P O BOX 8203
WARNER ROBINS, GA 310958203
Phone: (478) 355-3000
Fax: (478) 355-3001
Type: Mailing
2809 PINE ST
UNADILLA, GA 310917701
Phone: (478) 355-3000
Fax: (478) 355-3001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160706002548 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 203 | 46 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 158 | 32 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 116 | 31 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 69 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 24 | $0 |
Insurance plans in this area (ZIP 31036)
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