Malozera Primary Care, LLC
NPI 1912544784 · Family Medicine Physician · Unadilla, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Malozera Primary Care, LLC is a Family Medicine Physician organization in Unadilla, GA (NPI 1912544784).
Provider details
- NPI number
- 1912544784
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexander Ibezi-Enendu, Owner(404) 702-9466
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 604 Bluebird BlvdFort Valley, GA 31030-5081Phone: (478) 352-2031Fax: (478) 825-2041
- 292 Industrial Blvd Ste 300Hawkinsville, GA 31036-8034Phone: (478) 783-3610Fax: (478) 783-3611
Registry dates
- Enumerated
- 2019-11-29
- Last updated
- 2023-11-18
- Certified
- 2023-11-18
Frequently asked questions
- What is Malozera Primary Care, LLC's NPI number?
- Malozera Primary Care, LLC's National Provider Identifier (NPI) is 1912544784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Malozera Primary Care, LLC?
- Malozera Primary Care, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Malozera Primary Care, LLC located?
- Malozera Primary Care, LLC's practice location on file with NPPES is 2809 Pine St, Unadilla, GA 31091-7701.
- What is Malozera Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Malozera Primary Care, LLC is (478) 355-3000.
- Does Malozera Primary Care, LLC accept Medicare?
- Malozera Primary Care, 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 Malozera Primary Care, LLC?
- The authorized official listed on Malozera Primary Care, LLC's NPPES record is Alexander Ibezi-Enendu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Malozera Primary Care, LLC's NPI active?
- Yes — Malozera Primary Care, LLC's NPI (1912544784) is active in the NPPES registry as of the last update on 2023-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.