Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio Gobenciong, MD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164954319

Antonio Gobenciong, MD is a Family Practice in Macon, Georgia. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone: (478) 633-5550
Fax: (478) 784-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 009141 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164954319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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