OrganizationActive
Phoenix Medical Group of Ga LLC
NPI 1013209733 · Internal Medicine Physician · Mcdonough, GA
Provider details
- NPI number
- 1013209733
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carrie Madej, President(678) 814-4901
- License
- 053123 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Jonesboro Road
Mcdonough, GA 30253-6031
Phone: (678) 814-4901
Fax: (678) 814-4908
Street-level locationGet directions
Mailing address
P.o. Box 740209
Atlanta, GA 30370-4029
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2014-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.