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ANTONIO GOBENCIONG M.D.
NPI 1164954319
Family Medicine in Macon, GA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
3780 EISENHOWER PKWY, MACON, GA 31206(478) 633-5550(478) 784-3550 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Aug 9, 2018, Mar 28, 2017 (3 updates tracked since 2017).

About Antonio Gobenciong M.d. NPPES

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

ANTONIO GOBENCIONG M.D. (NPI 1164954319) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (009141) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164954319
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTONIO GOBENCIONGCredential: M.D.
Location Address3780 EISENHOWER PKWYMacon, GA 31206-0800
Mailing Address3780 Eisenhower PkwyMacon, GA 31206-0800 · (478) 633-5550 · Fax (478) 784-3550
Phone(478) 633-5550
Fax(478) 784-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 28, 2017
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
✔ NPI 1164954319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 009141
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3780 EISENHOWER PKWY, Macon, GA 31206
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Gobenciong M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557613080
PECOS Enrollment IDI20201222002836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHUICHI NAKAI MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5550
KAMILYA HUNTER MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500
CHARLES BOLING PA
Physician Assistant
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500
KARA A KELSEY MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500
PAUL K MATHIEU JR. MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500
KATHLYN WOHLRABE LMFT
Marriage & Family Therapist
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500
DR. FLORENCE T BARALATEI MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5554
SANDHYA RAMAYYA MD
Family Medicine
3780 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 633-5500

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 Antonio Gobenciong's NPI number?

The NPI number for Antonio Gobenciong is 1164954319. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Antonio Gobenciong located?

Antonio Gobenciong practices at 3780 Eisenhower Pkwy, Macon, GA 31206. The listed phone number is (478) 633-5550.

What is Antonio Gobenciong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antonio Gobenciong enrolled in Medicare?

Yes. Antonio Gobenciong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonio Gobenciong was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.