Individual provider Active NPI

Robert John Madden, MD

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1023224151
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022825 Issued in GA
Practice address
14 John Maddox Dr NW
Rome, GA 30165-1450
Phone
(706) 295-7320
Fax
(706) 295-7319
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022825 GA Primary

Addresses

Primary practice location

14 John Maddox Dr NW
Rome, GA 30165-1450

Mailing address

14 John Maddox Dr NW
Rome, GA 30165-1450
Phone (706) 295-7320

Other identifiers 1

IdentifierTypeStateIssuer
00235694EMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000636 GA Practitioner - Internal Medicine 0143380568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

14 John Maddox Dr
Rome, GA 30165-1450

14 John Maddox Dr NW
Rome, GA 30165-1450
Phone (706) 295-7320

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Pruitthealth at Home - Rome Home health agency, Rome, GA, CCN 117148
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
  • Atrium Health Floyd Polk Medical Center Hospital, Cedartown, GA, CCN 111330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022825GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Madden MD PC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients

Locations

14 John Maddox Dr NW
Rome, GA 30165
Phone (706) 295-7320

Interoperability endpoints

  • Direct secure messaging: robertmadden88@rjmmp-ga.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1023224151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651450",
            "telephone_number": "706-295-7320",
            "fax_number": "706-295-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651450",
            "telephone_number": "706-295-7320",
            "fax_number": "706-295-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "022825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235694E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.