NPIMap

Individual provider Active NPI

Timothy Charles Madigan, M.D.

  • Family Medicine Physician
  • Windsor, NC
National Provider Identifier
1013965060
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-01539 Issued in NC
Practice address
1403 S King St
Windsor, NC 27983-9666
Phone
(252) 794-6775
Fax
(252) 794-6771
NPI assigned
May 4, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2005-01539 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000196 NC Practitioner - Family Practice 6608808829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Family Practice PAGroup PAC ID 6901985688, 5 clinicians

Practice addresses (Care Compare)

600 S Church St
Hertford, NC 27944-1205
Phone (252) 368-4510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC Past Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: timothymadigan@ccfpnc.allscriptsdirect.net
  • Direct secure messaging: tmadigan.plymouthprimarycare@direct.wrmc.nchie.net

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1013965060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S KING ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839666",
            "telephone_number": "252-794-6775",
            "fax_number": "252-794-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S KING ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839666",
            "telephone_number": "252-794-6775",
            "fax_number": "252-794-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-01539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NC

Sources for this page

Verify at the official NPI Registry.