Individual Healthcare Provider
Alexander Chukwuma Ibezi-Enendu, D.O.
Provider's NPPES record last updated: November 18, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1154615979
- Primary Specialty
- Family Medicine
- Practice Location
- Unadilla, Georgia
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:34 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
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.
Taxonomy code 207Q00000X Emergency Medicine
Allopathic & Osteopathic Physicians
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. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000X
Provider-Reported License Information
- Family Medicine (Georgia)
- 75636
- Emergency Medicine (Michigan)
- 5101019441
Practice Locations
Practice Location
2809 Pine St
Unadilla, Georgia 31091-7701
Phone: (478) 355-3000
Additional Practice Location
222 Perry Hwy
Hawkinsville, Georgia 31036-6748
Phone: (478) 783-4887
Fax: (478) 783-1877
Additional Practice Location
801 Elberta Rd
Warner Robins, Georgia 31093-1735
Phone: (478) 923-3146
Additional Practice Location
292 Industrial Blvd Ste 300
Hawkinsville, Georgia 31036-8034
Phone: (478) 783-3610
Fax: (478) 783-3611
Additional Practice Location
200 S Kimberly Rd
Warner Robins, Georgia 31088-8721
Phone: (478) 293-4900
Additional Practice Location
604 Bluebird Blvd
Fort Valley, Georgia 31030-5081
Phone: (478) 825-2031
Record Information
- Enumeration Date
- June 9, 2011
- Provider's NPPES Record Last Updated
- November 18, 2023
- Certification Date
- November 18, 2023
- NPISignal NPPES Dataset
- August 2026
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