Fadoul Medical LLC
NPI 1205713138 · Internal Medicine Physician · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fadoul Medical LLC is a Internal Medicine Physician organization in Macon, GA (NPI 1205713138).
Provider details
- NPI number
- 1205713138
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Fadoul, Owner(706) 612-0761
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 104 Broadleaf DrMacon, GA 31210-1920Phone: (478) 318-8866
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Fadoul Medical LLC's NPI number?
- Fadoul Medical LLC's National Provider Identifier (NPI) is 1205713138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fadoul Medical LLC?
- Fadoul Medical LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fadoul Medical LLC located?
- Fadoul Medical LLC's practice location on file with NPPES is 350 Hospital Dr, Macon, GA 31217-3838.
- What is Fadoul Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Fadoul Medical LLC is (478) 318-8866.
- Does Fadoul Medical LLC accept Medicare?
- Fadoul Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fadoul Medical LLC?
- The authorized official listed on Fadoul Medical LLC's NPPES record is Peter Fadoul, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fadoul Medical LLC's NPI active?
- Yes — Fadoul Medical LLC's NPI (1205713138) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.