Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAREGAP MEDFAST CLINIC PC
NPI 1063360311
Clinic/Center - Multi-Specialty in Athens, GA

Q: What is Caregap Medfast Clinic PC's NPI number?

The NPI number for Caregap Medfast Clinic PC is 1063360311. It was assigned to this organization in the NPPES registry on March 20, 2026.

Q: What is Caregap Medfast Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since March 20, 2026

2164 ATLANTA HWY, #B, ATHENS, GA 30606(404) 310-4040 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Mar 26, 2026, Mar 20, 2026 (3 updates tracked since 2026).

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About Caregap Medfast Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAREGAP MEDFAST CLINIC PC (NPI 1063360311) is a healthcare organization registered as a multi-specialty in Athens, Georgia and active in the NPI registry since March 2026. The organization lists Gabriel Ikemba Madu, Director, as its authorized official.

NPPES Registry Identity

NPI1063360311

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCAREGAP MEDFAST CLINIC PC

Location Address2164 ATLANTA HWY, #BAthens, GA 30606

Mailing Address2164 Northern Oak DrBraselton, GA 30517-6064

Phone(404) 310-4040

Organization SubpartNo

Authorized OfficialGabriel Ikemba MaduDirector · (404) 310-4040

Enumeration DateMarch 20, 2026

Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1063360311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

2164 ATLANTA HWY, Athens, GA 30606

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caregap Medfast Clinic PC's NPI number?

The NPI number for Caregap Medfast Clinic PC is 1063360311. It was assigned to this organization in the NPPES registry on March 20, 2026.

Where is Caregap Medfast Clinic PC located?

Caregap Medfast Clinic PC is located at 2164 Atlanta Hwy #b, Athens, GA 30606. The listed phone number is (404) 310-4040.

What is Caregap Medfast Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Caregap Medfast Clinic PC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.