FADOUL MEDICAL LLC
NPI 1205713138
Internal Medicine in Macon, GA

Q: 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.

Q: What is Fadoul Medical LLC's specialty?

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

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 04, 2026.

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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

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.

SRIRAMAKRISHNA RAO KOGANTI MD

Emergency Medicine