P Praxis·MD
● Active Type 1 · Individual

Alexander Chukwuma Ibezi-Enendu, D.O.

Family Medicine·Unadilla, GA· NPI 1154615979 · Enumerated 2011 · 14 years on NPI
Ibezi-Enendu is 1 of 3 family medicine providers in Unadilla and 1 of 5448 in Georgia.
NPI age
14 years
Enumerated 2011-06-09
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-06Enumerated in NPPES
2011 2026

Where they practice

Practice location
2809 Pine St
Unadilla, GA 310917701
📞 4783553000fax 4783553001
Mailing address
P O Box 8203
Warner Robins, GA 310958203
📞 4783553000fax 4783553001

Additional practice locations

5 secondary locations on file with NPPES.

Location 2
222 Perry Hwy
Hawkinsville, GA 310366748
📞 4787834887fax 4787831877
Location 3
200 S Kimberly Rd
Warner Robins, GA 310888721
📞 4782934900
Location 4
604 Bluebird Blvd
Fort Valley, GA 310305081
📞 4788252031
Location 5
292 Industrial Blvd Ste 300
Hawkinsville, GA 310368034
📞 4787833610fax 4787833611
Location 6
801 Elberta Rd
Warner Robins, GA 310931735
📞 4789233146

Specialties

  • Family Medicine Primary
    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...
    GA license #75636 taxonomy 207Q00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    MI license #5101019441 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (GA) 003167544B
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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