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FADOUL MEDICAL LLC
NPI 1205713138
Internal Medicine in Macon, GA

Active since August 20, 2025
350 HOSPITAL DR, MACON, GA 31217(478) 318-8866 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fadoul Medical Llc NPPES

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

FADOUL MEDICAL LLC (NPI 1205713138) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since August 2025. The organization maintains a secondary practice location in Macon and lists Peter Fadoul, Owner, as its authorized official.

NPPES Registry Identity

NPI1205713138
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFADOUL MEDICAL LLC
Location Address350 HOSPITAL DRMacon, GA 31217-3838
Mailing AddressPo Box 3424Eatonton, GA 31024-3424 · (706) 612-0761
Phone(478) 318-8866
Organization SubpartNo
Authorized OfficialPeter FadoulOwner · (706) 612-0761
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1205713138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
350 HOSPITAL DR, Macon, GA 31217
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Secondary Practice Location 1

Location 1104 Broadleaf DrMacon, GA 31210-1920 · Phone (478) 318-8866

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fadoul Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fadoul Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Fadoul, MD
Hospitalist
NPI 1922685544
380 HOSPITAL DR STE 430
Macon, GA 31217
(478) 318-8866
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fadoul Medical LLC's NPI number?

The NPI number for Fadoul Medical LLC is 1205713138. It was assigned to this organization in the NPPES registry on August 20, 2025.

Where is Fadoul Medical LLC located?

Fadoul Medical LLC is located at 350 Hospital Dr, Macon, GA 31217. The listed phone number is (478) 318-8866.

What is Fadoul Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fadoul Medical LLC enrolled in Medicare?

Yes. Fadoul Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fadoul Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Fadoul Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fadoul Medical LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.