Individual provider Active NPI

Madison Paige Musgrove, ADC-IP,CATP,SAS

  • Addiction Medicine (Preventive Medicine) Physician
  • Newberry, SC
National Provider Identifier
1013739028
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
ADC-IP2908 Issued in SC
Practice address
800 Main St
Newberry, SC 29108-3351
Phone
(803) 276-5690
Fax
(803) 321-2234
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X ADC-IP2908 SC Primary

Addresses

Primary practice location

800 Main St
Newberry, SC 29108-3351

Mailing address

800 Main St
Newberry, SC 29108-3351
Phone (803) 276-5690

Other practice location 1

219 Human Services Rd
Clinton, SC 29325-7548
Phone (864) 833-6500 ext. 8190

Other names 1

  • Mrs. Madison Paige Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ADC-IP2908SCMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurens County Commission on Alcohol and Drug Abuse PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1013739028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083351",
            "telephone_number": "803-276-5690",
            "fax_number": "803-321-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083351",
            "telephone_number": "803-276-5690",
            "fax_number": "803-321-2234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Human Services Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257548",
            "country_code": "US",
            "telephone_number": "864-833-6500 x8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "ADC-IP,CATP,SAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "SC",
            "license": "ADC-IP2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "TUCKER",
            "middle_name": "PAIGE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.