Timothy Charles Madigan, M.D.
Individual provider Active NPI Family Medicine Physician · Windsor, NC
NPI 1013965060 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1013965060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2005-01539 (NC)
- Practice address
- 1403 S King St
Windsor, NC 27983-9666 - Phone
- (252) 794-6775
- Fax
- (252) 794-6771
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Carolina Family Practice PA
Practice addresses (Care Compare)
600 S Church St
Hertford, NC 27944-1205
Phone (252) 368-4510
Hospital & facility affiliations
- Sentara Home Care Services
- Albemarle Home Care and Hospice
- Gentiva Health Services
- Vidant Chowan Hospital
- Sentara Albemarle Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050908000196 | NC | Practitioner - Family Practice | 6608808829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Housing & Community Services Corporation | Past | Accepting new patients | |
| Vidant Medical Group LLC | Past | Accepting new patients |
Interoperability endpoints
- timothymadigan@ccfpnc.allscriptsdirect.net
- tmadigan.plymouthprimarycare@direct.wrmc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2005-01539 | NC | Yes |
Addresses
Primary practice location
1403 S King St
Windsor, NC 27983-9666
Mailing address
1403 S King St
Windsor, NC 27983-9666
Phone (252) 794-6775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901603 | Medicaid | NC | |
| 141K7 | Other | NC | BCBS |
Other providers in Windsor, NC
- Liberty Healthcare Group LLC
- Liberty Healthcare Group LLC
- Liberty Healthcare Group LLC
- Elizabeth Robbins Liverman
- Ritesh Luitel
- Kristen Elizabeth McGinty
- Med-Care Equipment & Supplies
- Mediport Inc
- Middle Track United Family Service, Inc.
- Middle Track United Family Services
All providers in Windsor, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.