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

Chidi William Ekeledo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558949909

Chidi William Ekeledo, DO is a Family Practice in Macon, Georgia. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2021, 5 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone: (478) 714-5010
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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 13427 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558949909
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address3780 Eisenhower Pkwy, Macon, GA 31206-0800

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2021 (5 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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