JUSTICE C MADUBUIKE MD
NPI 1710255815
Family Medicine in Calhoun, GA

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 879-4776(706) 879-4781 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 11, 2025, Jul 10, 2024, Apr 14, 2021 and 2 more (5 updates tracked since 2018).

About Justice C Madubuike Md NPPES

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

JUSTICE C MADUBUIKE MD (NPI 1710255815) is an individual family medicine provider in Calhoun, Georgia, licensed in Georgia (98500) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1710255815
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTICE C MADUBUIKECredential: MD
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Fax(706) 879-4781
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2011
Last NPPES UpdateApril 11, 20255 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1710255815 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 · 98500
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 ListedHospitalistTaxonomy 208M00000X · License 98500 (GA)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 4023024 (KY)
1035 RED BUD RD NE, Calhoun, GA 30701

Secondary Practice Location 1

Location 1530 S Jackson StLouisville, KY 40202-1675 · Phone (502) 852-5851

Accepted Insurance

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

Justice C Madubuike Md 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 ID9133386600
PECOS Enrollment IDI20240809001277, I20250129002405, I20251125004139
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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.

Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Internal Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701

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 Justice Madubuike's NPI number?

The NPI number for Justice Madubuike is 1710255815. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Justice Madubuike located?

Justice Madubuike practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 879-4776.

What is Justice Madubuike's specialty?

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

Is Justice Madubuike enrolled in Medicare?

Yes. Justice Madubuike 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.

What insurance does Justice Madubuike accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, CareSource and Health Advantage and 1 other insurer list Justice Madubuike as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justice Madubuike affiliated with any hospitals?

According to CMS data, Justice Madubuike is affiliated with Adventhealth Gordon, Adventhealth Murray, King's Daughters' Medical Center and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Justice Madubuike was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.