● Active Type 1 · Individual

Vince Ifeanyi Chukwukelu, MD

Family Medicine·MacOn, GA· NPI 1386149425 · Enumerated 2018 · 8 years on NPI

Chukwukelu is 1 of 2 family medicine providers in MacOn and 1 of 66 in Georgia.

NPI age

8 years

Enumerated 2018-03-29

Primary specialty

Family Medicine

Plus 2 subspecialties

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2022-06-27

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 66 active family medicine providers in Georgia.

NPI age

8 years

↓ 7 yr below median (15 yr)

State licenses

1 state

28% of peers hold multiple states

Subspecialties

In the 54% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES

2018 2026

Where they practice

Practice location

3780 Eisenhower Pkwy

MacOn, GA 312060800

📞 4786335550fax 4786337287

Mailing address

3780 Eisenhower Pkwy

MacOn, GA 312060800

📞 4786335550fax 4786337287

Specialties

Allopathic & Osteopathic Physicians › Family Medicine

Family Medicine Primary

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...

GA license #90086 taxonomy 207QS0010X
Family Medicine

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 #010544 taxonomy 207Q00000X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.

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How to verify this provider

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